Individual
DR. CARISSA VILLAFLOR BEAUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5600 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2023
(405) 943-4413
(405) 942-0115
Mailing address
5600 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2023
(405) 943-4413
(405) 942-0115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3055
OK
Other
Enumeration date
08/17/2020
Last updated
08/01/2024
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