Individual
MANDI LEANNE MAULSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5813 E 18TH ST, TULSA, OK 74112-7103
(918) 813-7845
Mailing address
5813 E 18TH ST, TULSA, OK 74112-7103
(918) 813-7845
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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