Individual
MRS. ELLA JEFFERSON-SPEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3612 OAK GROVE DR, MIDWEST CITY, OK 73110-3728
(405) 863-5578
Mailing address
3612 OAK GROVE DR, MIDWEST CITY, OK 73110-3728
(405) 863-5578
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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