Individual
MISS ANGELA RICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4633 NW 35TH ST, OKLAHOMA CITY, OK 73122-1331
(405) 601-8891
Mailing address
4633 NW 35TH ST, OKLAHOMA CITY, OK 73122-1331
(405) 601-8891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59142
OK
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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