Individual
GLADIS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13025 E 27TH PL, TULSA, OK 74134-2419
(918) 712-0859
(918) 388-6456
Mailing address
13025 E 27TH PL, TULSA, OK 74134-2419
(918) 712-0859
(918) 388-6456
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746170G
—
OK
Enumeration date
03/17/2014
Last updated
03/17/2014
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