Individual
EDWIGE GWANYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 NW 39 TH EXPY STE 103, OKLAHOMA CITY, OK 73112
(405) 532-6563
Mailing address
12600 N MACARTHUR BLVD APT 208, OKLAHOMA CITY, OK 73142
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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