Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 224P00000X | Prosthetist |
NPI | 1457920555 |
---|---|
Provider Name | Shirlin Merisier |
First Address | Oklahoma City, OK 73132-4403 |
Second Address | Oklahoma City, OK 73132-4403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2021 |
Last Update Date | 25/06/2021 |