Individual
SUZANNE L. GREENWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2507 WINDSOR RD, PONCA CITY, OK 74601-1642
(580) 762-3875
Mailing address
8 SHERMAN LN, PONCA CITY, OK 74604-5723
(580) 762-8647
(580) 762-8070
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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