Individual
MISS RENE LEVETTE BRAMLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 W 11TH ST APT 1, TULSA, OK 74127-9034
(918) 282-8716
Mailing address
607 W 11TH ST APT 1, TULSA, OK 74127-9034
(918) 282-8716
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
K000078786
OK
332H00000X
Eyewear Supplier
Primary
K000078786
OK
343900000X
Non-emergency Medical Transport (VAN)
K000078786
OK
347C00000X
Private Vehicle
K000078786
OK
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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