DENISE EVYONNE ENGRAM

BROKEN ARROW, OK
NPI1144627233
Former NameDENIS EVYONNE LEE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2014-12-04
Last Update Date2014-12-04
Business Address
DENISE EVYONNE ENGRAM
4723 S ASH DR
BROKEN ARROW, OK 74011-3464
Phone number: 918-313-9602
Mailing Address
DENISE EVYONNE ENGRAM
4723 S ASH DR
BROKEN ARROW, OK 74011-3464
Phone number: 918-313-9602