Individual
ANGEL PAULINE MARTINEZ-THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
57533 MOCCASIN TRAIL RD, PRAGUE, OK 74864-1143
(405) 567-0054
Mailing address
57533 MOCCASIN TRAIL RD, PRAGUE, OK 74864-1143
(405) 567-0054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0124624
OK
Other
Enumeration date
09/11/2017
Last updated
07/11/2024
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