Individual
JUDIE ANGELA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13909 TECHNOLOGY DR STE A1, OKLAHOMA CITY, OK 73134-1060
(405) 202-6089
Mailing address
629 W SHEPHERD DR, MUSTANG, OK 73064-3205
(405) 202-6089
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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