Individual
JILLENE MARIE SROCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1400 E EAGLE NEST TER, MUSTANG, OK 73064-9442
(405) 812-8719
Mailing address
1400 E EAGLE NEST TER, MUSTANG, OK 73064-9442
(405) 812-8719
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
113139
OK
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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