Individual
MELVINA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7802 W 7TH ST, TULSA, OK 74127-5524
(918) 245-4075
Mailing address
PO BOX 1588, SAND SPRINGS, OK 74063-1588
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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