Individual
MOLLY DANIELLE CERRITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6475 S YALE AVE, SUITE 301, TULSA, OK 74136-7816
(918) 494-9300
(918) 494-9355
Mailing address
6475 S YALE AVE, SUITE 301, TULSA, OK 74136-7816
(918) 494-9300
(918) 494-9355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
778
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
778
OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
Enumeration date
09/04/2014
Last updated
09/04/2014
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