Individual
MARINA RACHELLE ANDALUZ-BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
6925 S CANTON AVE, TULSA, OK 74136-3418
(918) 932-8164
Mailing address
6925 S CANTON AVE, TULSA, OK 74136-3418
(918) 932-8164
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MIDW0051
OK
Other
Enumeration date
06/26/2024
Last updated
08/28/2024
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