Individual
MISS SAVANNAH VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6639 S VICTOR AVE UNIT G306, TULSA, OK 74136-2433
(918) 845-7976
Mailing address
6639 S VICTOR AVE UNIT G306, TULSA, OK 74136-2433
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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