Individual
COMFORT WURAOLA ADESIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11419 N MAY AVE APT C, OKLAHOMA CITY, OK 73120-5803
(405) 830-1068
Mailing address
11419 N MAY AVE APT C, OKLAHOMA CITY, OK 73120-5803
(405) 830-1068
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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