Individual
CHERRIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
6916 DECON AVE APT 217, OKLAHOMA CITY, OK 73132-6108
(940) 580-5529
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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