Individual
YOLANDA MARIA PRASSADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4833 INTEGRIS PKWY STE 200, EDMOND, OK 73034-8864
(405) 657-3825
(405) 657-3824
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 657-3825
(405) 657-3824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1762
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200247620A
—
OK
Enumeration date
08/31/2006
Last updated
12/06/2019
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