Individual
JORDYN ASHLEE-NICOLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4825 NW 23RD ST, OKLAHOMA CITY, OK 73127-1800
(405) 846-8426
Mailing address
4825 NW 23RD ST, OKLAHOMA CITY, OK 73127-1800
(405) 846-8426
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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