Individual
SISSI ROMI REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
657 N 28TH WEST AVE, TULSA, OK 74127-5106
(918) 407-4919
Mailing address
657 N 28TH WEST AVE, TULSA, OK 74127-5106
(918) 407-4919
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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