Individual
MICHELLE LEE TUBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N PORTLAND AVE, OKLAHOMA CITY, OK 73107-6120
(405) 945-6775
Mailing address
1001 FLAMINGO AVE, OKLAHOMA CITY, OK 73127-5013
(405) 795-2762
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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