Individual
AIDEN SKYE RAMIREZ-TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 561-1232
Mailing address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
04/28/2026
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