Individual
MRS. JOYCE ANN RISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11398 LEAVENWORTH TRL, MEAD, OK 73449-5128
(580) 931-6215
Mailing address
11398 LEAVENWORTH TRL, MEAD, OK 73449-5128
(580) 931-6215
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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