Individual
MISS KRYSTLE DIANNE PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 SW 89TH ST STE B, OKLAHOMA CITY, OK 73159-6312
(405) 676-5313
Mailing address
229 SW 87TH ST, OKLAHOMA CITY, OK 73139-8416
(405) 659-4125
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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