Individual
JUDAEA ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5909 NW EXPRESSWAY, WARR ACRES, OK 73132-5161
(405) 985-0166
Mailing address
7525 MEADOW LAKE DR, YUKON, OK 73099-9796
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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