Organization
OKLAHOMA MOTHERS' MILK BANK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MANNEL MPH, IBCLC (EXECUTIVE DIRECTOR)
(405) 297-5683
Entity
Organization
Contact information
Practice address
901 N LINCOLN BLVD STE 330, OKLAHOMA CITY, OK 73104-3211
(405) 297-5683
(405) 297-5637
Mailing address
901 N LINCOLN BLVD STE 330, OKLAHOMA CITY, OK 73104-3211
(405) 297-5683
(405) 297-5637
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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