Provider Demographics
NPI:1437636453
Name:ADAMS, ZENA MARIA
Entity Type:Individual
Prefix:
First Name:ZENA
Middle Name:MARIA
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 N MERIDIAN AVE APT 355
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-5084
Mailing Address - Country:US
Mailing Address - Phone:405-921-2548
Mailing Address - Fax:
Practice Address - Street 1:1307 N MERIDIAN AVE APT 355
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-5084
Practice Address - Country:US
Practice Address - Phone:405-921-2548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist