Individual
SHANA USIUKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 STANTON L YOUNG BLVD STE 6300, OKLAHOMA CITY, OK 73104-5018
(405) 436-9578
Mailing address
1200 CHILDRENS AVE STE 11200, OKLAHOMA CITY, OK 73104-4637
(405) 271-3445
(405) 271-3401
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
35774
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2020
Last updated
11/15/2022
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