Individual
WHITNEY RICHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24739 SLICK RD, BRISTOW, OK 74010-3177
(918) 852-2688
Mailing address
24739 SLICK ROAD, BRISTOW, OK 74010
(918) 852-2688
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
10357390
OK
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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