Individual
EDIEJO PLACENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2461 E ROCK CREEK RD, BLANCHARD, OK 73010-2870
(405) 361-3710
Mailing address
2461 E ROCK CREEK RD, BLANCHARD, OK 73010-2870
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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