Individual
QUINTA AJEBEKONG ATEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 N MERIDIAN AVE APT 101, OKLAHOMA CITY, OK 73107-1004
(405) 361-1876
Mailing address
2626 N MERIDIAN AVE APT 101, OKLAHOMA CITY, OK 73107-1004
(405) 361-1876
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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