Individual
ELEYAH RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 424-7711
Mailing address
401 W COVELL RD APT 735, EDMOND, OK 73003-2007
(405) 763-9051
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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