Individual
JINCY YOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3267
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2571
OK
Other
Enumeration date
01/20/2016
Last updated
11/07/2019
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