Individual
SHAWNA ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 W 15TH ST, EDMOND, OK 73013-3621
(405) 858-1737
Mailing address
820 W 15TH ST, EDMOND, OK 73013-3621
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0050356
OK
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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