Individual
STELLA IMOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3349
(405) 945-5467
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 949-3349
(405) 945-5467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72704
OK
Other
Enumeration date
03/25/2014
Last updated
02/08/2016
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