Individual
SILVIA DE LOERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 NW 126TH ST, OKLAHOMA CITY, OK 73120-5100
(405) 802-6759
Mailing address
1416 NW 126TH ST, OKLAHOMA CITY, OK 73120
(405) 802-6759
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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