Individual
MS. TIARA SHACOLE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1890 N HARTFORD AVE, TULSA, OK 74106-3550
(918) 829-3942
Mailing address
36 E CAMERON ST # 19, TULSA, OK 74103-1405
(918) 829-3942
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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