Individual
MARICELA NASR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6941 E 9TH ST, TULSA, OK 74112-4605
(918) 694-0391
Mailing address
6941 E 9TH ST, TULSA, OK 74112-4605
(918) 694-0391
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4163
OK
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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