Individual
TAMIKA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9339 E 56TH ST, TULSA, OK 74145-7928
(918) 971-8812
Mailing address
9339 E 56TH ST, TULSA, OK 74145-7928
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
03/17/2018
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