Individual
GIANNA ALEAH MCKINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135-5832
(800) 722-3611
Mailing address
6128 E 38TH ST, TULSA, OK 74135-5832
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
000
OK
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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