Individual
CORTNI D'ANNE RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3958 E ADMIRAL CT, TULSA, OK 74115-8302
(918) 350-3435
Mailing address
3958 E ADMIRAL CT, TULSA, OK 74115-8302
(918) 350-3435
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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