DESTINY L ROSE

OKLAHOMA CITY, OK
NPI1588264402
Former NameDESTINY L SHELTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  4412)
Enumeration Date2020-10-29
Last Update Date2022-12-11
Business Address
DESTINY L ROSE PA-C
9809 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73159-6925
Phone number: 405-692-1557
Mailing Address
DESTINY L ROSE PA-C
9809 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73159-6925
Phone number: 405-693-1557