Individual
MONIQUE RENTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4514 N IROQUOIS AVE, TULSA, OK 74106-1306
(918) 812-5170
Mailing address
4514 N IROQUOIS AVE, TULSA, OK 74106-1306
(918) 812-5170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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