Individual
JANNEL DENISE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12011 W. LOWRY ROAD, CLAREMORE, OK 74017-3222
(918) 724-0723
Mailing address
12011 W. LOWRY ROAD, CLAREMORE, OK 74017
(918) 724-0723
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
11/27/2023
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