Individual
JASMIN AMON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 N 28TH WEST AVE, TULSA, OK 74127-6139
(918) 794-0197
Mailing address
1276 W QUEEN ST, TULSA, OK 74127-2502
(918) 619-2102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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