Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | OK |
NPI | 1083977110 |
---|---|
Provider Name | Armando Prado |
First Address | Oklahoma City, OK 73120-6336 |
Second Address | Oklahoma City, OK 73120-6336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2012 |
Last Update Date | 22/06/2012 |