Individual
ELIANA QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4456 SPRUCE ST, KIEFER, OK 74041-3029
(918) 633-5246
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3331
(918) 488-6687
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
86881
OK
Other
Enumeration date
01/09/2019
Last updated
03/29/2019
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