Individual
MRS. SUKCHA MAUDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
215 NW 16TH ST, OKLAHOMA CITY, OK 73103-3408
(405) 473-6153
(405) 524-1677
Mailing address
215 NW 16TH ST, OKLAHOMA CITY, OK 73103-3408
(405) 473-6153
(405) 524-1677
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0074117
OK
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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