Individual
SIMERA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 S GARNETT RD, TULSA, OK 74146-6831
(918) 665-2501
Mailing address
3144 S 101ST EAST AVE, TULSA, OK 74146-1437
(918) 849-3897
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
57611
OK
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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