STACY HENINGTON

LOCUST GROVE, OK
NPI1578016523
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2016-07-26
Last Update Date2016-07-26
Business Address
-- STACY HENINGTON
695 E JOE KOELSCH DR
LOCUST GROVE, OK 74352-2061
Phone number: 918-479-5233
Mailing Address
-- STACY HENINGTON
695 E JOE KOELSCH DR
LOCUST GROVE, OK 74352-2061
Phone number: 918-479-5233