Individual
ANA CIUDNAIA MELROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(580) 977-9911
Mailing address
1220 S ROCKFORD AVE, APT. G, TULSA, OK 74120-5249
(580) 977-9911
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
07/24/2015
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