Individual provider · NPI-1

Glenda Burnett

Funeral Director · Oklahoma City, OK

NPI number1972694776
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1972694776
Entity type
Individual (NPI-1)
Name
Mrs. Glenda Burnett
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 27, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
176P00000X Funeral Director73159TOKYes

Practice location

10501 White Oak Canyon Rd
Oklahoma City, OK 73162-6663

Phone 405-416-6763

Mailing address

10501 White Oak Canyon Rd
Oklahoma City, OK 73162-6663

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