Individual
LUCIA CECILIA MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
X-RAY TECH, ADM,
Contact information
Practice address
222 E EUFAULA ST STE 220, NORMAN, OK 73069-6080
(405) 310-2756
(405) 310-2753
Mailing address
222 E EUFAULA ST STE 220, NORMAN, OK 73069-6080
(405) 310-2756
(405) 310-2753
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
HC7883
OK
374U00000X
Home Health Aide
HC7883
OK
376K00000X
Nurse's Aide
HC7883
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC7883
HOME CARE
OK
Enumeration date
08/17/2017
Last updated
07/21/2022
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