Individual
MISS ARNEICE UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CCM
Contact information
Practice address
1607 SW 15TH ST, OKLAHOMA CITY, OK 73108-6803
(405) 634-0508
(405) 616-5678
Mailing address
1607 SW 15TH ST, OKLAHOMA CITY, OK 73108-6803
(405) 634-0508
(405) 616-5678
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
20646
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100729210
—
OK
Enumeration date
06/12/2008
Last updated
06/12/2008
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