Individual
MS. SHONTA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4742
Mailing address
4204 N FRANKFORT AVE, TULSA, OK 74106-1254
(918) 951-5509
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
02/01/2024
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