Individual
VANESSA FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 RANGER BLVD, ROLAND, OK 74954-4040
(918) 427-4601
Mailing address
300 RANGER BLVD, ROLAND, OK 74954-4040
(918) 427-4601
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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