Individual
MRS. MARIA GUADALUPE BALDERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 SW 10TH ST, OKLAHOMA CITY, OK 73109-5610
(405) 236-0701
(405) 236-0737
Mailing address
622 SW 31ST ST, OKLAHOMA CITY, OK 73109-2512
(405) 414-3026
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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