Individual
CHANTAL IANTHE HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2825 PARKLAWN DR, MIDWEST CITY, OK 73110-4201
(405) 610-4411
Mailing address
6105 SE 58TH ST, OKLAHOMA CITY, OK 73135-5478
(580) 647-3462
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400025271019
OK
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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