Individual
ALYSON VISELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 S BALTIMORE AVE, TULSA, OK 74119-4807
(918) 895-7680
Mailing address
1715 S BALTIMORE AVE, TULSA, OK 74119-4807
(918) 895-7680
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07011998
DOB
MO
Enumeration date
07/20/2022
Last updated
07/20/2022
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