Individual
MRS. KAREN CRISTENE MINIELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4312 S WACO AVE, TULSA, OK 74107-6810
(918) 446-8281
Mailing address
4312 S WACO AVE, TULSA, OK 74107-6810
(918) 446-8281
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
OK
Other
Enumeration date
05/15/2007
Last updated
07/09/2007
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