Individual
MRS. DEMETRIUS SURRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-6455
Mailing address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-6455
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-56379
OK
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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