Individual
LATRICE WARRIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 GENERAL PERSHING DRIVE, OKLAHOMA CITY, OK 73107
(405) 942-3200
Mailing address
PO BOX 53277, OKLAHOMA CITY, OK 73152-3277
(405) 522-3908
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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