Individual
LORETTA JEWEL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 N 73RD EAST AVE, TULSA, OK 74115-7843
(316) 794-0406
Mailing address
704 N 73RD EAST AVE, TULSA, OK 74115-7843
(316) 794-0406
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
000000000
OK
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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