EBONY WOLFE

OKLAHOMA CITY, OK
NPI1134679996
Former NameEBONY C FRAZIER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: OK  86473)
Enumeration Date2016-10-05
Last Update Date2016-10-12
Business Address
-- EBONY WOLFE NP-C
1301 SE 59TH ST
OKLAHOMA CITY, OK 73129-7307
Phone number: 405-632-9631
Mailing Address
-- EBONY WOLFE NP-C
9105 NW 90TH CIR
YUKON, OK 73099-5564
Phone number: 917-805-0864