Individual
MS. JEARLDINE E MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4023 S LOCUST DR, MIDWEST CITY, OK 73110-7447
(405) 229-4928
Mailing address
4023 S LOCUST DR, MIDWEST CITY, OK 73110-7447
(405) 229-4928
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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