Individual
TIJUANA RAPHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
11378 GLADE AVE, OKLAHOMA CITY, OK 73162-1325
(405) 209-8082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0081954
OK
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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