Shermoan Roderick Daiyaan

NPI #1215799077 in Vinita, Oklahoma

Provider Information

NPI Number: 1215799077
Entity Type: Individual
Name: Shermoan Roderick Daiyaan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 26, 2024
Last Updated: Jan 30, 2024

Practice Location

Address: 405 E EXCELSIOR AVE
City: Vinita
State: Oklahoma
ZIP Code: 74301-4226
Phone: (918) 200-6856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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