Individual
SUSAN MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W BROADWAY ST, SUITE 401, ARDMORE, OK 73401-6205
(580) 226-5209
(580) 226-5219
Mailing address
115 W BROADWAY ST, SUITE 401, ARDMORE, OK 73401-6205
(580) 226-5209
(580) 226-5219
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OK
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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