Individual
MS. TASHIKA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 KENDRA DR, MIDWEST CITY, OK 73110-7750
(405) 524-1541
Mailing address
211 KENDRA DR, MIDWEST CITY, OK 73110-7750
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TBROOKS7370
—
OK
Enumeration date
08/15/2011
Last updated
01/30/2013
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