Individual
MALAYA REYNA DEEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9699
(580) 531-4786
Mailing address
5602 SW LEE BLVD, LAWTON, OK 73505-9699
(580) 531-4786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
124007
OK
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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