Individual
MARIBETH DECARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1215 NW 25TH ST, OKLAHOMA CITY, OK 73106-5629
(405) 525-2525
Mailing address
1215 NW 25TH ST, OKLAHOMA CITY, OK 73106-5629
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91245
OK
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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