Individual
DOMINION WISDOM NDOMA- AGBOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8336 S LEWIS AVE APT 414, TULSA, OK 74137-1503
(240) 467-8003
Mailing address
8336 S LEWIS AVE APT 414, TULSA, OK 74137-1503
(240) 467-8003
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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