Individual
ELESA FELTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E MAIN ST BLDG 52, NORMAN, OK 73071-5305
(405) 424-7711
Mailing address
4717 FOREST HILLS DR, NOBLE, OK 73068-8455
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0061259
OK
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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