Individual
ANA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7170 S BRADEN AVE STE 195, TULSA, OK 74136-6324
(918) 280-0099
Mailing address
11760 E 28TH PL, TULSA, OK 74129-8014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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