Individual
JOYCE SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3603 OAKHURST DR, MIDWEST CITY, OK 73110-3865
(580) 230-1994
Mailing address
3603 OAKHURST DR, MIDWEST CITY, OK 73110-3865
(580) 230-1994
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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