Individual
MRS. DIANA LYNN TATRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1620 E 12TH ST, TULSA, OK 74120-5407
(918) 586-4210
Mailing address
1620 E 12TH ST, TULSA, OK 74120-5407
(918) 586-4210
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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