Individual
NAYELY MESTA ESQUIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 N EAST ST, GUYMON, OK 73942-3333
(580) 338-4638
(580) 338-4642
Mailing address
PO BOX 548, GUYMON, OK 73942-0548
(580) 338-4638
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J083631849
CASE MANAGEMENT
—
05
—
J083631849
—
OK
Enumeration date
02/10/2020
Last updated
02/10/2020
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