Individual
QUAQUETTA D POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4345 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5101
(405) 522-7300
Mailing address
1608 NE 35TH ST, MOORE, OK 73160-2776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0111133
OK
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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