Individual
LESLY C HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1536 N BOSTON AVE, TULSA, OK 74106-4102
(918) 902-2721
Mailing address
1536 N BOSTON AVE, TULSA, OK 74106-4102
(918) 902-2721
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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