Individual
SOULIYA SCOTT CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
4206 NE 33RD ST, OKLAHOMA CITY, OK 73121-5629
(405) 306-4978
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R0067678
OK
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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