Individual
DAISY JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9820 E 41ST ST STE 400, TULSA, OK 74146-3616
(918) 289-0550
Mailing address
11712 E 28TH PL, TULSA, OK 74129-8014
(918) 814-2432
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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