Individual
BRENNA JOSEFINA GUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
(918) 560-1399
Mailing address
9703 S 92ND EAST AVE, TULSA, OK 74133-6133
(214) 869-9417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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