Individual
DR. NNEDI EZENWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
5046 S SHERIDAN RD, TULSA, OK 74145-5714
(918) 627-6464
(918) 627-4118
Mailing address
5046 S SHERIDAN RD, TULSA, OK 74145-5714
(918) 627-6464
(918) 627-4118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12304
OK
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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