Individual
DESHANA RACHELLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4701 S 74TH EAST PL APT 2, TULSA, OK 74145-6336
(918) 402-2832
Mailing address
4701 S 74TH EAST PL APT 2, TULSA, OK 74145-6336
(918) 402-2832
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
OK
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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