Individual
SHAVONDA PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1717 N PEORIA AVE, SUITE 5, TULSA, OK 74106-4400
(918) 508-2950
(918) 508-2952
Mailing address
6117 S MINGO RD, SUITE C, TULSA, OK 74133-6315
(918) 615-3433
(918) 369-9175
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4125
OK
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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