Individual
RACHEAL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73119-4930
(405) 605-4005
Mailing address
49210 MACARTHUR ST, SHAWNEE, OK 74804-1535
(405) 929-9080
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
66730
OK
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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