Individual
TASHEIANA DANIELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7310 E 30TH ST, TULSA, OK 74129-6260
(918) 361-5713
Mailing address
7310 E 30TH ST, TULSA, OK 74129-6260
(918) 986-4012
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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