Individual
CANDICE BALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
5901 NW 122ND ST, OKLAHOMA CITY, OK 73142-3901
(405) 722-1356
Mailing address
5901 NW 122ND ST, OKLAHOMA CITY, OK 73142-3901
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
11314
OK
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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