Individual
ABIGAIL MUTAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 660-3130
(918) 660-3132
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 660-3130
(918) 660-3132
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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