Individual
TAMUNOTONYEMIE LARE NDENGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9306 E 98TH ST, TULSA, OK 74133-6116
(405) 408-2364
Mailing address
9306 E 98TH ST, TULSA, OK 74133-6116
(405) 408-2364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R100276
OK
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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