Individual
WANDA DONALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7706 S VICTOR AVE # B, TULSA, OK 74136-7706
(918) 477-7888
Mailing address
7706 S VICTOR AVE # B, TULSA, OK 74136-7706
(918) 477-7888
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OK
Other
Enumeration date
04/11/2007
Last updated
07/09/2007
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