Individual
MRS. DIAN MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 NW 39TH EXPY STE 103, OKLAHOMA CITY, OK 73112-8739
(405) 601-9668
Mailing address
11205 N PENN AVE APT 224, OKLAHOMA CITY, OK 73120-7723
(405) 413-3602
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
37V576030806
OK
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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