Individual
QIANA NAKESHA MARIE IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E APACHE ST, TULSA, OK 74106-3702
(918) 949-4500
Mailing address
3829 RIVERSIDE DR, TULSA, OK 74105-3045
(414) 795-1499
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
05/14/2025
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