Individual
DANA HELEN DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
8835 S 90TH EAST AVE, TULSA, OK 74133-4421
(918) 557-1247
Mailing address
8835 S 90TH EAST AVE, TULSA, OK 74133-4421
(918) 557-1247
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99115
TX
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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