Individual
LEIZA SEVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 SE 14TH ST, OKLAHOMA CITY, OK 73129-4316
(405) 570-9961
Mailing address
501 SE 14TH ST, OKLAHOMA CITY, OK 73129-4316
(405) 570-9961
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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