Individual
KIANNA JO SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 382-1285
Mailing address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 382-1285
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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