Individual
MIRANDA LOPEZ-CODAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 S ADAMS ST, JENKS, OK 74037-2573
(918) 409-0157
Mailing address
7306 S YALE AVE, TULSA, OK 74136-7027
(918) 280-0090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF594
OK
Other
Enumeration date
04/07/2021
Last updated
08/20/2024
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