Individual
JENEVA BROOKE LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5840 S MEMORIAL DR STE 111, TULSA, OK 74145-9006
(918) 488-8002
(918) 488-8028
Mailing address
5840 S MEMORIAL DR STE 111, TULSA, OK 74145-9006
(918) 488-8002
(918) 488-8028
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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