Individual
TRICIA VANCLEEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15629 FOUNTAIN CREEK LN, EDMOND, OK 73013-2165
(956) 293-0682
Mailing address
15629 FOUNTAIN CREEK LN, EDMOND, OK 73013-2165
(956) 293-0682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0113625
OK
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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