Individual
BERNICE MCKAY HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.C.C.
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2689
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
9910
IL
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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