Provider / Organization | NPI | Date Certified |
---|---|---|
ZANDAR DRAVON-GEMELLI | 1912721630 | 2024-11-09 |
Zandar Dravon-gemelli is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912721630. Registration indicates Zandar Dravon-gemelli is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
Entity Type | Individual |
Provider Name | Zandar Dravon-gemelli |
Practice Office Address | 1700 N ROBINSON AVE APT 302 OKLAHOMA CITY, OK US |
Practice Office Telephone | 8508441739 |
Mailing Address | 1700 N ROBINSON AVE APT 302 OKLAHOMA CITY, OK 731033438 US |
Business Telephone | 8508441739 |
Code | Practice | License No State |
---|---|---|
171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |