Individual
ANDRE FAVORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 424-7711
Mailing address
1808 TUMBLEWEED AVE, EL RENO, OK 73036
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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