Individual
JALISHA BOATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-2700
(405) 858-1776
Mailing address
813 NE 25TH ST, OKLAHOMA CITY, OK 73105-7938
(405) 858-2700
(405) 858-1776
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
11/23/2016
Last updated
02/22/2024
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