Gravida LLC

NPI #1104145291 in Mustang, Oklahoma

Provider Information

NPI Number
1104145291
Entity Type
Organization
Organization Name
Gravida LLC
Primary Specialty
Specialist
Enumeration Date
May 27, 2010
Last Updated
May 27, 2010

Practice Location

Address
317 E MOBILE TER
ZIP Code
73064-6524
Phone
(405) 613-2066

Authorized Official

Name
BRANDI SCHMIT, LMT
Title
PARTNER
Phone
(405) 613-2066

Specialties & Taxonomy Codes

Specialty
Specialist

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