KEAUNTAE D MATLOCK

OKLAHOMA CITY, OK
NPI1790580926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-02-13
Last Update Date2025-02-13
Business Address
KEAUNTAE D MATLOCK
1209 W HEFNER RD APT 155
OKLAHOMA CITY, OK 73114-7086
Phone number: 405-535-0050
Mailing Address
KEAUNTAE D MATLOCK
1209 W HEFNER RD APT 155
OKLAHOMA CITY, OK 73114-7086
Phone number: 405-535-0050