Individual
LEAH TRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Mailing address
5132 E 30TH PL, TULSA, OK 74114-6312
(918) 284-7129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0049210
OK
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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