Individual
MELVIA SUE ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6014 NW 16TH ST, OKLAHOMA CITY, OK 73127-2604
(405) 706-3362
Mailing address
6014 NW 16TH ST, OKLAHOMA CITY, OK 73127-2604
(405) 706-3362
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
56727
OK
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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