Individual
DESHA LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 E 31ST ST, TULSA, OK 74135-1505
(918) 587-9471
Mailing address
3510 E 31ST ST, TULSA, OK 74135-1505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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