Individual
GEORGIA MARY VERNARDAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 S DELAWARE AVE APT 1831, TULSA, OK 74104-2476
(913) 258-0605
Mailing address
425 S DELAWARE AVE APT 1831, TULSA, OK 74104-2476
(913) 258-0605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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