Individual
ANGELA UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 852-1604
Mailing address
825 W 91ST ST, TULSA, OK 74132-3614
(615) 969-6509
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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