Individual
ALEXIS BRIANNA LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 SE 4TH ST STE B, MOORE, OK 73160-7328
(405) 338-7674
Mailing address
1601 COLLEGE AVE, OKLAHOMA CITY, OK 73106-4434
(810) 877-0113
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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