Individual
MANUEL ROLANDO CAMPA-MORENO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 E CAMERON ST, TULSA, OK 74103-1405
(918) 921-0898
Mailing address
9111 E 46TH PL, TULSA, OK 74145-7204
(918) 982-7630
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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