Individual
DAWNIQUE NICOLE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 NE 19TH ST, OKLAHOMA CITY, OK 73111-1018
(405) 602-6808
Mailing address
1220 NE 19TH ST, OKLAHOMA CITY, OK 73111-1018
(405) 602-6808
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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