Most Relevant Information
Provider Data
| NPI Number: | 1003204926 |
| Provider Name: | ESHA-HYDIYA MCKINNEY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/30/2014 |
| Last Updated: | 12/30/2014 |
Provider Practice Location
1208 N WALNUT AVE
OKLAHOMA CITY
OK
731041450
Practice Location Phone/Fax
| Phone: | 4057580210 |
| Fax: |
Provider Mailing Location
1208 N WALNUT AVE
OKLAHOMA CITY
OK
731041450
Provider Mailing Phone/Fax
| Phone: | 4057580210 |
| Fax: |