Individual
MIYANA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIRECTOR OF LAB
Contact information
Practice address
521 N COUNCIL RD APT 21D, OKLAHOMA CITY, OK 73127-4971
(405) 351-3357
Mailing address
521 N COUNCIL RD APT 21D, OKLAHOMA CITY, OK 73127-4971
(405) 351-3357
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37DD2287616
OK
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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