Individual
MR. KWAME WIAFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 NW 63RD ST, OKLAHOMA CITY, OK 73116-7907
(405) 418-3859
Mailing address
3113 N GLADE AVE, BETHANY, OK 73008-3649
(405) 418-3859
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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