Individual
MRS. MUJING MAMY MATAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
6117 BEVERLY HILLS DR, EDMOND, OK 73034-8690
(405) 334-7189
Mailing address
6117 BEVERLY HILLS DR, EDMOND, OK 73034-8690
(405) 334-7189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201967
OK
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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