Individual
TERACIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10013 KAY RDG, YUKON, OK 73099-8326
(405) 361-5244
Mailing address
10013 KAY RDG, YUKON, OK 73099-8326
(405) 361-5244
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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