Individual
YU TSAI MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0063693
OK
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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