Individual
MELODY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4436 NW 50TH ST, OKC, OK 73112
(405) 858-2700
Mailing address
337814 E 1060 RD, MCLOUD, OK 74851
(405) 434-4806
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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