Individual
KEISHLA MARIE ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4504 N KENOSHA AVE, TULSA, OK 74106-1314
(918) 780-4820
Mailing address
4504 N KENOSHA AVE, TULSA, OK 74106-1314
(918) 780-4820
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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