Individual
MARISSA KRISTINA HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 E VIRGIN ST, TULSA, OK 74106-5526
(918) 644-5371
Mailing address
530 ROCKWOOD DR, KIEFER, OK 74041-3025
(918) 845-8373
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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