Individual
MRS. BRENDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
105365 SOUTH HWY 102, MCLOUD, OK 74851
(405) 964-2081
(405) 964-2170
Mailing address
2011 SADDLEBACK BLVD, NORMAN, OK 73072-2806
(405) 593-6571
(405) 964-2170
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
21310468
OK
163WD0400X
Diabetes Educator Registered Nurse
Primary
68458
OK
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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