Individual
CHRYSANTHA BEITZEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6216 S LEWIS AVE, TULSA, OK 74136-1044
(918) 268-7179
Mailing address
6216 S LEWIS AVE, TULSA, OK 74136-1044
(918) 268-7179
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
01/16/2019
Last updated
01/31/2023
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