MISS Krista Nicole Havener

NPI #1760670293 in El Reno, Oklahoma

Provider Information

NPI Number: 1760670293
Entity Type: Individual
Name: MISS Krista Nicole Havener
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Oct 10, 2007
Last Updated: Oct 10, 2007

Practice Location

Address: 200 N CHOCTAW
Address 2: SUITE 140
City: El Reno
State: Oklahoma
ZIP Code: 73036-2624
Phone: (405) 262-3209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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