DAVI BLACKTHORNE
Individual Provider (NPI-1)
Active
Peer Specialist
Provider Information
- NPI Number
1366142689- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1336 N HARRISON AVE, SHAWNEE, OK, 748015206
- Phone
- (405) 424-7711
Specialties & Taxonomies
Peer Specialist
Primary
All Addresses
MAILING
3308 SE 89TH ST
OKLAHOMA CITY, OK, 731356229