Individual
MRS. JENNIFER MARIE NOVIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(405) 522-3908
(405) 522-3650
Mailing address
134 NE FULLERTON ST, LAWTON, OK 73507-1455
(580) 284-4496
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
08/24/2013
Last updated
08/24/2013
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