Individual
TENAYA LOFTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5025 NW 19TH ST, OKLAHOMA CITY, OK 73127-2821
(269) 420-6358
Mailing address
5025 NW 19TH ST, OKLAHOMA CITY, OK 73127-2821
(269) 420-6358
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/26/2024
Last updated
05/02/2024
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