Individual
CARLA RENEE BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 SE 22ND ST, OKLAHOMA CITY, OK 73129-8413
(405) 677-0502
Mailing address
7500 S COUNTRY CLUB DR APT 202C, OKLAHOMA CITY, OK 73159-5157
(405) 589-5662
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
376K00000X
Nurse's Aide
400043700822
OK
Other
Enumeration date
11/17/2023
Last updated
01/05/2024
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