Individual
MS. MALISA ANN REEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Mailing address
429 S 66TH EAST AVE, TULSA, OK 74112-1815
(918) 794-2613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R105049
OK
Other
Enumeration date
11/24/2013
Last updated
11/24/2013
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