Individual
KYNDAL RAE MOCTEZUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6111 E SKELLY DR, TULSA, OK 74135-6100
(918) 779-7216
(918) 663-0203
Mailing address
6111 E SKELLY DR, TULSA, OK 74135-6100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
216440
OK
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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