Individual
JESSICA SCARAMUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-5211
Mailing address
2420 NW 55TH PL, OKLAHOMA CITY, OK 73112-7723
(405) 401-1690
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
109635
OK
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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