Individual
CRYSTAL IFEKOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 955-0251
Mailing address
10242 E 34TH ST, TULSA, OK 74146-1506
(918) 955-0251
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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