Doctor Name: | ASHLEY CANTU |
NPI Number: | 1124496492 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 100687160A |
Business Practice Address: | 201 W Madison St Mangum, OK - 735541811 |
Business Phone Number: | 5807803371 |
Business Fax Number: | |
Mailing Address: | Po Box 535, MANGUM |
State: | OK |
Postal Code: | 73554 |
Phone Number: | 5807822704 |
Fax Number: | 5807822313 |
NPI Enumeration Date: | 09/03/2015 |
NPI Last Update Date: | 09/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251300000X |
License Number: | 100687160A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Local Education Agency (LEA) |
Taxonomy Specialization: | |
Taxonomy Definition: | The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 |