Individual
JUSTIN KAMENI NANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5025 N MAY AVE, OKLAHOMA CITY, OK 73112-6042
(405) 947-6743
Mailing address
10212 BISCAY CT, OKLAHOMA CITY, OK 73159-6020
(405) 934-8684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20231
OK
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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