Individual
BRANDON DE JESUS DE LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-4700
Mailing address
1029 NE 6TH ST APT 910, OKLAHOMA CITY, OK 73117-1465
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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