Individual
MRS. TELA MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4401 S. WESTERN AVENUE, OKLAHOMA CITY, OK 74962
(405) 636-7173
Mailing address
HC 68 BOX 830, VIAN, OK 74962-9118
(918) 773-8332
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R0043676 08037605
OK
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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