Individual
JESSICA JAMES FLORENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11600 GLADE AVE, OKLAHOMA CITY, OK 73162-1329
(714) 567-1963
Mailing address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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