Individual
AGNES TONKUMOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11600 SHASTA LN, OKLAHOMA CITY, OK 73162-1601
(405) 923-2933
Mailing address
11600 SHASTA LN, OKLAHOMA CITY, OK 73162-1601
(405) 923-2933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
90102
OK
Other
Enumeration date
02/04/2018
Last updated
02/04/2018
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