Individual
BRIANNA FAYE GERALDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1737 LINWOOD BLVD, OKLAHOMA CITY, OK 73106-5033
(405) 510-0417
Mailing address
1737 LINWOOD BLVD, OKLAHOMA CITY, OK 73106-5033
(405) 510-0417
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0070638
OK
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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