Individual
ANDERAE RACHELLE ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 S HARVARD AVE, TULSA, OK 74114-3301
(918) 293-2140
Mailing address
10316 E 120TH ST N, COLLINSVILLE, OK 74021-4850
(512) 229-6948
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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