Individual
DR. JESSICA EDEM KANWHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
9401 E 91ST ST N, OWASSO, OK 74055-3035
(405) 410-5262
Mailing address
9401 E 91ST ST NORTH, OWASSO, OK 74055
(405) 410-5262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15022
OK
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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