Most Relevant Information
Provider Data
| NPI Number: | 1003449083 |
| Provider Name: | JEARLDINE E MAXWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/18/2020 |
| Last Updated: | 02/18/2020 |
Provider Practice Location
4023 S LOCUST DR
MIDWEST CITY
OK
731107447
Practice Location Phone/Fax
| Phone: | 4052294928 |
| Fax: |
Provider Mailing Location
4023 S LOCUST DR
MIDWEST CITY
OK
731107447
Provider Mailing Phone/Fax
| Phone: | 4052294928 |
| Fax: |