Individual
DEYVIKA RAJNI SRINIVASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 NW 17TH ST, OKLAHOMA CITY, OK 73103-2134
(213) 585-9971
Mailing address
710 NW 17TH ST, OKLAHOMA CITY, OK 73103-2134
(213) 585-9971
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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