Individual
MS. TRACEY DANIELLE CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8305 E 56TH PL, TULSA, OK 74145-7900
(918) 804-0253
Mailing address
8305 E 56TH PL, TULSA, OK 74145-7900
(918) 804-0253
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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