Individual
DESTINY FAITH MOOMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E MEMORIAL RD, OKLAHOMA CITY, OK 73114-2229
(405) 577-1411
Mailing address
510 E MEMORIAL RD, OKLAHOMA CITY, OK 73114-2229
(405) 577-1411
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
09/26/2024
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