Individual
ELIA RECARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Mailing address
1411 E OKMULGEE ST, MUSKOGEE, OK 74403-5645
(918) 360-2767
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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