Individual
MRS. XIOMARA JACQUELINE PORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-2968
Mailing address
7627 NW 20TH ST, BETHANY, OK 73008-5405
(405) 408-2152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107240
OK
Other
Enumeration date
09/23/2012
Last updated
07/24/2019
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