Individual
MS. SYLVIA GRACE VALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 NW 196TH ST, EDMOND, OK 73012-3640
(405) 924-7014
Mailing address
2325 NW 196TH ST, EDMOND, OK 73012-3640
(405) 924-7014
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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