Individual
IESHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 E 31ST PL N, TULSA, OK 74110-1108
(918) 728-8995
Mailing address
2024 E ZION ST, TULSA, OK 74110-2058
(918) 340-6032
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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