Individual
JALEN DERRELL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 406-3420
Mailing address
10071 S SHERIDAN RD APT 717, TULSA, OK 74133-6251
(918) 850-0188
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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