Individual
FRANCES DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 S GARNETT RD, TULSA, OK 74128-1836
(918) 878-7877
Mailing address
4521 DIAZ AVE, FORT WORTH, TX 76107-6227
(817) 690-0527
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
02/01/2014
Last updated
02/01/2014
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