Individual
EVY BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 NE 16TH ST, OKLAHOMA CITY, OK 73104-4609
(918) 907-5314
Mailing address
905 NE 16TH ST, OKLAHOMA CITY, OK 73104-4609
(918) 907-5314
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
37V766770317
OK
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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