Individual
DESIREE BRIANA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
116 E ROBERT S KERR BLVD, WYNNEWOOD, OK 73098-6621
(405) 665-4351
(405) 665-6372
Mailing address
116 E ROBERT S KERR BLVD, WYNNEWOOD, OK 73098-6621
(405) 665-4351
(405) 665-6372
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
59160
OK
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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