Individual
ZHAWNTORIA S OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8804 NE 46TH ST, SPENCER, OK 73084-2565
(405) 830-7500
Mailing address
8804 NE 46TH ST, SPENCER, OK 73084-2565
(405) 830-7500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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