Individual
JESSICA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14101 N EASTERN AVE STE A, EDMOND, OK 73013-5860
(405) 562-1800
Mailing address
1021 SW 140TH ST, OKLAHOMA CITY, OK 73170-4307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21107
OK
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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