Individual
JONI CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
(918) 560-1399
Mailing address
10242 E 97TH ST N, OWASSO, OK 74055-4369
(918) 381-0696
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/29/2016
Last updated
09/16/2021
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