Individual
CELESTE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7170 S BRADEN AVE STE 195, TULSA, OK 74136-6324
(918) 280-0090
Mailing address
33000 E 148TH ST S, COWETA, OK 74429-7777
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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