Search › Oklahoma › 101YM0800X
Leslie Wallace
NPI 1871855981 · on the registry since 2012 · sole proprietor
Practice
- Address
- 908 Ne 84th St
Oklahoma City, OK 73114 - Phone
- (405) 608-0086
- Fax
- (405) 419-9203
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma