Individual
HANA YOUNG CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 S TRENTON AVE, TULSA, OK 74114-2728
(214) 476-9236
Mailing address
2626 S TRENTON AVE, TULSA, OK 74114-2728
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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