Individual
JACQUELINE NEREYDA GALDAMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 E 91ST ST STE 201, TULSA, OK 74137-2810
(918) 730-9123
Mailing address
468 S 76TH EAST AVE, TULSA, OK 74112-2157
(918) 851-2261
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-106460
OK
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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