Individual
DEMETRIES BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3712 E 11TH ST, TULSA, OK 74112-3952
(918) 834-4194
Mailing address
3712 E 11TH ST, TULSA, OK 74112-3952
(918) 834-4194
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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