Provider Demographics
NPI:1487908497
Name:WRICE, DONTE'NA L
Entity type:Individual
Prefix:
First Name:DONTE'NA
Middle Name:L
Last Name:WRICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5621 NW 115TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-3534
Mailing Address - Country:US
Mailing Address - Phone:405-595-7241
Mailing Address - Fax:
Practice Address - Street 1:5621 NW 115TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-3534
Practice Address - Country:US
Practice Address - Phone:405-595-7241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management