Individual
BRANDIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(405) 424-7711
Mailing address
1900 W BROADWAY AVE APT 58, ELK CITY, OK 73644-5154
(580) 210-0933
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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