Individual
JANIL JARTAIVUS GALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
7919 LAKEHURST DR, OKLAHOMA CITY, OK 73120-4323
(815) 450-3780
Mailing address
7919 LAKEHURST DR, OKLAHOMA CITY, OK 73120-4323
(815) 450-3780
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
190165
OK
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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