Individual
ALEXIS PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N WALKER AVE STE 190, OKLAHOMA CITY, OK 73102-1896
(405) 210-2263
Mailing address
400 N WALKER AVE STE 190, OKLAHOMA CITY, OK 73102-1896
(405) 521-7195
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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