Individual
TRELYNN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
829 ELM CREEK DR, MOORE, OK 73160-0915
(405) 506-5590
Mailing address
829 ELM CREEK DR, MOORE, OK 73160-0915
(405) 506-5590
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
205445
OK
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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