Organization
MELENCIO RAON LINGA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELENCIO RAON LINGA JR. BHRS (OWNER)
(405) 641-0080
Entity
Organization
Contact information
Practice address
5609 NE 107TH ST, OKLAHOMA CITY, OK 73151-9548
(405) 771-8736
Mailing address
5609 NE 107TH ST, OKLAHOMA CITY, OK 73151-9548
(405) 771-8736
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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