Individual
TANEAL NICOLE MUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELORS
Contact information
Practice address
777 N AIR DEPOT BLVD APT 3113, MIDWEST CITY, OK 73110-3765
(405) 219-5515
Mailing address
777 N AIR DEPOT BLVD APT 3113, MIDWEST CITY, OK 73110-3765
(405) 219-5515
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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