person
Brea Davis
Student in an Organized Health Care Education/Training Program in Wagoner, Oklahoma
NPI 1437864642

Brea Davis is a Student in an Organized Health Care Education/Training Program based in Wagoner, OK. Brea Davis practices in Wagoner, OK. The NPI Number for Brea Davis is 1437864642 and holds a License No. (Oklahoma).

The current practice location address for Brea Davis is 72548 S 322 Way Lot 31, Wagoner, OK and can be reached out via phone at 918-816-9277.

Location: 72548 S 322 Way Lot 31, Wagoner, OK, 74467-7050
person
Provider Profile Details
NPI Number
1437864642
Provider Name
Brea Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
72548 S 322 Way Lot 31, Wagoner, OK, 74467-7050
Phone Number
918-816-9277
Fax Number
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
72548 S 322 Way Lot 31
City
State
Zip
74467-7050
Phone Number
918-816-9277
Fax Number
person
Provider Business Mailing Address Details
Address
72548 S 322 Way Lot 31
City
State
Zip
74467-7050
Phone Number
918-816-9277
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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