Individual
BRENDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4404 EPPERLY DR, DEL CITY, OK 73115-3730
(405) 317-1889
Mailing address
4404 EPPERLY, DEL CITY, OK 73115
(405) 317-1889
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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