Individual
CONNIE I RITZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 S ELM PL STE C, BROKEN ARROW, OK 74012-7950
(918) 520-5197
Mailing address
3100 S ELM PL STE C, BROKEN ARROW, OK 74012-7950
(918) 520-5197
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
34050
OK
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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