Individual
JESICA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 E 41ST ST STE 2900, TULSA, OK 74135-2527
(918) 660-3150
(918) 660-3143
Mailing address
4444 E 41ST ST STE 2900, TULSA, OK 74135-2527
(918) 660-3150
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201155860A
—
OK
Enumeration date
04/12/2023
Last updated
11/21/2024
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