Individual
ELSA SILVA DE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 S GARNETT RD, SUITE G, TULSA, OK 74128-1836
(918) 878-7877
Mailing address
102 N DENVER AVE, TULSA, OK 74103-1806
(918) 350-8574
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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