Most Relevant Information
Provider Data
NPI Number: | 1003565862 |
Provider Name: | SHAKARA DANIELLE WALKER |
Entity Type: | Individual |
Taxonomy Code: | 175T00000X |
Specialty: | Peer Specialist |
License Number: |
Most Important Dates
Enumeration Date: | 03/21/2022 |
Last Updated: | 03/21/2022 |
Provider Practice Location
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY
OK
731076437
Practice Location Phone/Fax
Phone: | 4058581700 |
Fax: |
Provider Mailing Location
PO BOX 12978
OKLAHOMA CITY
OK
731572978
Provider Mailing Phone/Fax
Phone: | 4058581700 |
Fax: |