Organization
HYDROGLO AESTETICS AND WELLNESS
Active
Other names
HOPE VITAMIN INFUSIONS
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN HERNDON (MANAGER)
(405) 557-1200
Entity
Organization
Contact information
Practice address
2237 W MEMORIAL RD STE 112, OKLAHOMA CITY, OK 73134-8064
(405) 849-4785
(405) 286-1698
Mailing address
2237 W MEMORIAL RD STE 112, OKLAHOMA CITY, OK 73134-8064
(405) 849-4785
(405) 286-1698
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
08/23/2022
Last updated
09/10/2024
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