Individual
KIERSTA ROSE DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36609 45TH ST, SHAWNEE, OK 74804-8882
(405) 273-1170
Mailing address
36609 45TH ST, SHAWNEE, OK 74804-8882
(405) 273-1170
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
7494
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
03/03/2025
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