Individual
MS. CHANIKA NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
(918) 560-1399
Mailing address
1814 E WOODROW PL, TULSA, OK 74110-2025
(918) 734-9462
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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