Individual
BADIA TIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 W HARTFORD ST, BROKEN ARROW, OK 74012-2188
(918) 724-4646
Mailing address
3020 W HARTFORD ST, BROKEN ARROW, OK 74012-2188
(918) 724-4646
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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