Individual
BRANDY RENE TREAGESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 E 20TH ST, OKMULGEE, OK 74447-6303
(918) 591-5783
(918) 591-5791
Mailing address
1313 E 20TH ST, OKMULGEE, OK 74447-6303
(918) 591-5783
(918) 591-5791
Taxonomy
Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
Primary
112563
OK
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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