Individual
RAVEN ELIZABETH BRASSEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
6475 S YALE AVE STE 401, TULSA, OK 74136-7818
(918) 502-9555
Mailing address
6475 S YALE AVE STE 401, TULSA, OK 74136-7818
(918) 502-9555
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6147
OK
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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