Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | 5291 | OK |
NPI | 1275832610 |
---|---|
Provider Name | Brenda Sue Howell |
First Address | Glenpool, OK 74033-2829 |
Second Address | Sapulpa, OK 74066-4505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2011 |
Last Update Date | 24/03/2011 |