Denise Evyonne Engram

NPI #1144627233 in Broken Arrow, Oklahoma

Provider Information

NPI Number
1144627233
Entity Type
Individual
Name
Denise Evyonne Engram
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Dec 4, 2014
Last Updated
Dec 4, 2014

Practice Location

Address
4723 S ASH DR
ZIP Code
74011-3464
Phone
(918) 313-9602

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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