Individual
JERMEKA GUMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 437-9495
Mailing address
7777 S LEWIS AVE, TULSA, OK 74171-0001
(352) 301-0127
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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