Individual
JENNIFER SUSAN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3446 NW 48TH ST, OKLAHOMA CITY, OK 73112-6172
(405) 416-3266
Mailing address
3446 NW 48TH ST, OKLAHOMA CITY, OK 73112-6172
(405) 416-3266
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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