Individual
ANDRA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 829-1795
Mailing address
12824 S 72ND EAST AVE, BIXBY, OK 74008-2306
(918) 829-1795
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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