Individual
ALICE ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 SW 96TH ST, OKLAHOMA CITY, OK 73159-6864
(918) 813-6484
Mailing address
2412 SW 96TH ST, OKLAHOMA CITY, OK 73159-6864
(918) 813-6484
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F1115586
OK
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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