Individual
MISS KAYLA MARIE WOODBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 NW 21ST ST, OKLAHOMA CITY, OK 73103-1810
(405) 528-7721
(405) 528-0394
Mailing address
3029 DENTWOOD TER, DEL CITY, OK 73115-1936
(405) 528-7721
(405) 528-0394
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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