Search › Oklahoma › 175T00000X
Ella Jefferson-Speed
NPI 1275164113 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3612 Oak Grove Dr
Midwest City, OK 73110 - Phone
- (405) 863-5578
- Organisation at this address
- Soul Survivor Supportive Living Fdn
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Sex
- Female
- Record last updated
- 2020-01-29
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