Individual
DESA JENEE' HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13819 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1066
(405) 467-6782
Mailing address
13819 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1066
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
3377
OK
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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