Organization
MISSY RIDDLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISSY RIDDLES (OWNER)
(405) 265-8866
Entity
Organization
Contact information
Practice address
11219 W RENO AVE, YUKON, OK 73099-7569
(405) 265-8866
Mailing address
11219 W RENO AVE, YUKON, OK 73099-7569
(405) 265-8866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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