Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACE MUKOMBE

Active Sole Proprietor

Residential Treatment, Emotionally Disturbed Children · NORMAN, OK

Registration Details

NPI Number: 1992474969
Provider Type: Individual
Gender: Female
NPI Issued: Sep 12, 2021 (4.6085702805512 yrs)
Last Updated: Sep 12, 2021
Sole Proprietor: Yes

Practice Information

Address: 3400 DESKIN DR # 8295

NORMAN, OK, 730698295
Browse OK providers · Browse ZIP 73069
Phone: 4057018530
Fax: 4057018529
Primary Specialty: Residential Treatment, Emotionally Disturbed Children
322D00000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.