Most Relevant Information
Provider Data
| NPI Number: | 1003454745 |
| Provider Name: | SUMMER NICOLE LARKINS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/12/2019 |
| Last Updated: | 12/12/2019 |
Provider Practice Location
5909 N CLASSEN CT
OKLAHOMA CITY
OK
731185942
Practice Location Phone/Fax
| Phone: | 4059236005 |
| Fax: |
Provider Mailing Location
5909 N CLASSEN CT
OKLAHOMA CITY
OK
731185942
Provider Mailing Phone/Fax
| Phone: | 4059236005 |
| Fax: |