Individual
SALOMON SAMUEL PARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 S FRETZ AVE STE C, EDMOND, OK 73003-5568
(405) 757-7980
Mailing address
529 WATERVIEW RD, OKLAHOMA CITY, OK 73170-1622
(580) 548-6932
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
02/21/2025
Last updated
04/28/2025
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