Individual
SERENITI DAWN IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 WILLOW CREEK DR, MIDWEST CITY, OK 73110-7220
(405) 240-8507
Mailing address
3425 WILLOW CREEK DR, MIDWEST CITY, OK 73110-7220
(405) 240-8507
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
12/12/2022
Last updated
08/10/2023
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