MICHELLE RENEE SHADE

TAHLEQUAH, OK
NPI1720560261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-08-31
Last Update Date2019-09-26
Business Address
MICHELLE RENEE SHADE
1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464-3462
Phone number: 918-708-3006
Mailing Address
MICHELLE RENEE SHADE
1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464-3462
Phone number: 918-708-3006