Individual
CAMERON SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7908 NW 23RD ST, BETHANY, OK 73008-4950
(405) 440-1006
Mailing address
7908 NW 23RD ST, BETHANY, OK 73008-4950
(405) 440-1006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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