Individual
TALITHA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 381-0133
Mailing address
7878 E 126TH ST S APT 212, BIXBY, OK 74008-2379
(918) 927-9004
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
4433
OK
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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