Loretta Dene Payne
NPI #1043749633 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1043749633
- Entity Type
- Individual
- Name
- Loretta Dene Payne
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Religious Nonmedical Health Care Institution
- Enumeration Date
- Jun 7, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2112 NW 29TH ST
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73107-2526
- Phone
- (405) 313-7720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Religious Nonmedical Health Care Institution |
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