Individual
PATRICEA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 E 71ST ST STE C, TULSA, OK 74136-5572
(918) 794-6570
Mailing address
2508 E 71ST ST STE C, TULSA, OK 74136-5572
(918) 794-6570
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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