Individual
TRASHASANS Y GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2637 NW 25TH ST, OKLAHOMA CITY, OK 73107-2223
(405) 675-9413
Mailing address
2637 NW 25TH ST, OKLAHOMA CITY, OK 73107-2223
(495) 675-9413
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R0066271
OK
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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