Individual
MARICELA ERICA MARISCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3941 E COVEL RD, EDMOND, OK 73034
(405) 906-3087
Mailing address
3941 E COVEL RD, EDMOND, OK 73034
(405) 906-3087
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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