Individual
CAROL RENEE VANDEVOIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
3033 N WALNUT AVE, OKLAHOMA CITY, OK 73105-2832
(405) 233-9804
Mailing address
3033 N WALNUT AVE, OKLAHOMA CITY, OK 73105-2832
(405) 233-9804
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
12/10/2019
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