Individual
MILA VAE ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-4700
Mailing address
15400 AVALON LN, EDMOND, OK 73013-9176
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
206686
OK
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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