Individual
MEKYLA T BRIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2628 NW 38TH ST, OKLAHOMA CITY, OK 73112-7564
(405) 441-9817
Mailing address
2628 NW 38TH ST, OKLAHOMA CITY, OK 73112-7564
(405) 441-9817
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/22/2024
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