Individual
JENEE CANDICE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2423 NW 40TH ST, OKLAHOMA CITY, OK 73112-8716
(405) 419-8873
Mailing address
7328 N HAMMOND CIR, WARR ACRES, OK 73132-5711
(580) 704-6394
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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