Individual
MS. TONJA BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CFA
Contact information
Practice address
1265 S. UTICA AVE., SUITE 105, TULSA, OK 74104-4243
(918) 749-6400
(918) 749-2168
Mailing address
1145 S. UTICA AVENUE, SUITE 110, TULSA, OK 74104-4013
(918) 579-1262
(918) 579-3826
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
82714
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82714
SURGICAL TECHNOLOGIST CER
OK
Enumeration date
10/23/2006
Last updated
05/15/2009
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