Individual
SAMANTHA SANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 S 205TH EAST AVE, TULSA, OK 74108-8131
(918) 202-5970
Mailing address
3 S 205TH EAST AVE, TULSA, OK 74108-8131
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
03/17/2018
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