Individual
JENICCA MONCADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8086 S YALE AVE # 260, TULSA, OK 74136-9003
(801) 347-5855
Mailing address
8086 S YALE AVE # 260, TULSA, OK 74136-9003
(801) 347-5855
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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