Individual
TINA LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1737 LINWOOD BLVD, OKLAHOMA CITY, OK 73106-5033
(405) 510-0423
Mailing address
1737 LINWOOD BLVD, OKLAHOMA CITY, OK 73106-5033
(405) 510-0423
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R0055805
OK
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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