Individual
JADE ANNETTE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14400 BOGERT PKWY STE 200, OKLAHOMA CITY, OK 73134-2659
(325) 428-8730
Mailing address
14400 BOGERT PKWY STE 200, OKLAHOMA CITY, OK 73134-2659
(325) 428-8730
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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