Individual
MR. CARLOS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, BHRS
Contact information
Practice address
12205 STRATFORD DR, OKLAHOMA CITY, OK 73120-7801
(405) 837-1065
Mailing address
12205 STRATFORD DR, OKLAHOMA CITY, OK 73120-7801
(405) 837-1065
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
Primary
L081688491
OK
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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