Individual
MS. PHILIDA ROSALIND IGNACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 560-1200
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 560-1200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/17/2014
Last updated
08/20/2015
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