Individual
MISS JAELY DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 SE 66TH ST, OKLAHOMA CITY, OK 73149-5203
(405) 616-3366
Mailing address
1701 N KEY BLVD, MIDWEST CITY, OK 73110-5011
(914) 817-1984
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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