Individual
NANCY VIVIANA JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10948 E 23RD ST, TULSA, OK 74129-5000
(918) 409-5415
Mailing address
10948 E 23RD ST, TULSA, OK 74129-5000
(918) 409-5415
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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