Individual
MISS KALEY RAE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 N BROOKLINE AVE, APT 32, OKLAHOMA CITY, OK 73112-3901
(405) 474-4500
Mailing address
6100 N BROOKLINE AVE, APT 32, OKLAHOMA CITY, OK 73112-3901
(405) 474-4500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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