Trinity Nicole Sanko
Peer Specialist in Vinita, OK. Individual provider (NPI-1).
NPI number1154046902
StatusActive
Last updated in NPPESOct 4, 2022
Details
- NPI
- 1154046902
- Entity type
- Individual (NPI-1)
- Name
- Trinity Nicole Sanko
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2022
- Certification date
- Oct 4, 2022
- Last updated
- Oct 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
405 E Excelsior AveVinita, OK 74301-4226
Phone 844-458-2100
Mailing address
405 E Excelsior AveVinita, OK 74301-4226
Phone 844-458-2100
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