Individual
MR. JESUS LEON DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTCB
Contact information
Practice address
2019 E 81ST ST, TULSA, OK 74137-4232
(918) 488-8791
Mailing address
122 N NOGALES AVE, TULSA, OK 74127-8710
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
32788
OK
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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