Individual
ANISSIA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4111 E 51ST ST APT 134, TULSA, OK 74135-3626
(918) 899-7075
Mailing address
4111 E 51ST ST APT 134, TULSA, OK 74135-3626
(918) 899-7075
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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