Organization
SNB, LLC DBA PERSONAL HEALTH PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAN A BERTONE RN, CLNC (OWNER / CLINICAL DIRECTOR)
(918) 519-2919
Entity
Organization
Contact information
Practice address
2000 E 15TH ST, SUITE 300B, EDMOND, OK 73013-6697
(405) 330-5755
(405) 330-5796
Mailing address
2000 E 15TH ST, SUITE 300B, EDMOND, OK 73013-6617
(405) 330-5755
(405) 330-5796
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA 37D0921553
OK
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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