Individual
MELINDA PENROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 W KIOWA AVE, MCALESTER, OK 74501-5720
(918) 424-8337
Mailing address
308 W KIOWA AVE, MCALESTER, OK 74501-5720
(918) 424-8337
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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