Individual
DR. JESS MICHAEL TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1701 S YALE AVE, T-0019, TULSA, OK 74112-6221
(918) 293-0193
(918) 293-0196
Mailing address
1701 S YALE AVE, T-0019, TULSA, OK 74112-6221
(918) 293-0193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13671
OK
Other
Enumeration date
06/11/2011
Last updated
06/11/2011
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