Individual
MISS DONESHA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 E EUFAULA ST, NORMAN, OK 73069-6017
(405) 447-8581
Mailing address
8217 NW 114TH ST, OKLAHOMA CITY, OK 73162-2006
(972) 639-0610
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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