DEMETRIUS ALLEN SMITH

SAPULPA, OK
NPI1497529564
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
Enumeration Date2023-11-09
Last Update Date2023-11-14
Business Address
MR. DEMETRIUS ALLEN SMITH
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-227-2016
Mailing Address
MR. DEMETRIUS ALLEN SMITH
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-227-2016