Individual
TIFFANY LOY FICHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6111 E SKELLY DR, TULSA, OK 74135-6100
(918) 510-4054
Mailing address
614 S ELWOOD AVE APT 200, TULSA, OK 74119-1033
(918) 519-1947
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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