Janetta Berry- Sissoko's National Provider Identifier (NPI) Details
Janetta Berry- Sissoko, BSW
NPI: 1629163092
Enumeration Date: 2006-10-03
Last updated: 2007-07-08
Sole Proprietor: YES
Status: active
Postal Address: 2010 BOREN BLVD, SEMINOLE, OK
Phone: 405-382-4507
Primary Practice Address: 2010 BOREN BLVD, SEMINOLE, OK
Practice's phone: 405-382-4507