Individual
ELIZABETH HIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2935 E 76TH PL, TULSA, OK 74136-8722
(405) 368-4662
Mailing address
2935 E 76TH PL, TULSA, OK 74136-8722
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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