Individual
STEPHANIE NWAMAKA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9436 E 51ST ST, TULSA, OK 74145-9033
(918) 813-5053
Mailing address
8404 S CANTON AVE, TULSA, OK 74137-2006
(918) 813-5053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0130886
OK
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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