Individual
MARENA DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14101 PARKWAY COMMONS DR, OKLAHOMA CITY, OK 73134-6012
(405) 749-2700
Mailing address
10304 EXTER AVE, YUKON, OK 73099-7564
(321) 276-7430
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
219385
OK
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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