Individual
ASHLYNN RENEE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 E 27TH PL N, TULSA, OK 74106-2319
(918) 260-1491
Mailing address
503 E 27TH PL N, TULSA, OK 74106-2319
(918) 260-1491
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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