Individual
VICKI PETTIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5308 SE 84TH ST, OKLAHOMA CITY, OK 73135-6131
(405) 314-0874
Mailing address
5308 SE 84TH ST, OKLAHOMA CITY, OK 73135-6131
(405) 314-0874
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/26/2017
Last updated
02/26/2017
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