Individual
ANDRAQ PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7705 W PARKWAY BLVD APT 104, TULSA, OK 74127-5536
(918) 904-9564
Mailing address
7705 WEST PARKWAY BLVD 104, TULSA, OK 74106
(918) 904-9564
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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