Individual
DEEANN WATFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3211 S 79TH EAST AVE UNIT 111, TULSA, OK 74145-1343
(469) 350-1111
Mailing address
3211 S 79TH EAST AVE UNIT 111, TULSA, OK 74145-1343
(469) 350-1111
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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