Individual
JESSICA LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2408 E 81ST ST, TULSA, OK 74137-4200
(198) 477-5000
Mailing address
9105 SW 23RD ST, OKLAHOMA CITY, OK 73128-4901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
208700
OK
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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