Individual
VIVIAN DELOYCE HOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 WHITE EAGLE DR, PONCA CITY, OK 74601-8307
(580) 762-3421
Mailing address
200 WHITE EAGLE DR, PONCA CITY, OK 74601-8315
(580) 765-2501
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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