Individual
JENNIFER SARAH PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73119-4945
(405) 605-4005
(405) 601-2023
Mailing address
7145 MELROSE LN APT 102, OKLAHOMA CITY, OK 73127-6135
(405) 503-1414
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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