Individual
DEIDRE ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4639 N ELGIN AVE, TULSA, OK 74126-3214
(918) 232-4575
Mailing address
4639 N ELGIN AVE, TULSA, OK 74126-3214
(918) 232-4575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
05/09/2013
Last updated
06/09/2013
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