Will Rodgers Jakes Valid NPI

Individual provider · Peer Specialist · Edmond, OK

NPI

1497269435

Type

Individual (Type 1)

Primary specialty

Peer Specialist

Specialty group

Other Service Providers

Taxonomy code

175T00000X

Sex

Male

Sole proprietor

Yes

Enumerated

2017-11-29

Last updated

2017-11-29