BRENDA STACY

POTESU, OK
NPI1356889745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy405300000X Prevention Professional
(Licence: OK  261QM0801X)
Enumeration Date2017-02-06
Last Update Date2017-02-06
Business Address
-- BRENDA STACY
507 DRWEY
POTESU, OK 74953
Phone number: 918-649-0172
Mailing Address
-- BRENDA STACY
507 DRWEY
POTESU, OK 74953
Phone number: 918-649-0172