Individual
MRS. NELDA JEAN PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 SOUTH ELM, KELLYVILLE, OK 74039
(918) 247-6300
(918) 247-5030
Mailing address
1405 E. MOSES ST., CUSHING, OK 74023
(918) 225-5600
(918) 225-3026
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100686560A
—
OK
Enumeration date
01/05/2016
Last updated
01/05/2016
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