Individual
MONTOYA RENEE BOAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2008 N QUAKER AVE, TULSA, OK 74106-4514
(918) 804-1557
Mailing address
2008 N QUAKER AVE, TULSA, OK 74106-4514
(918) 804-1557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
11/19/2013
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