Individual
ANNE TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(405) 424-7711
Mailing address
328 HOOVER CIR, ELK CITY, OK 73644-1012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0090891
OK
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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