Individual
ROMA MORIAH REVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(253) 403-1260
Mailing address
1216 DEL NORTE DR, EDMOND, OK 73003-5917
(405) 657-8172
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R0075731
OK
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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