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Evaristus Penda
NPI 1831575315 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1105 Sw 30th Ct
Moore, OK 73160 - Phone
- (405) 676-5114
- Organisation at this address
- Ketamine Ok Llc
Balance Women'S Health, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Also registered as
- Case Manager/Care Coordinator
Adult Companion
Nurse's Aide - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-12
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