Individual
KALIYAH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4513 N KENOSHA AVE, TULSA, OK 74106-1313
(918) 704-0372
Mailing address
4513 N KENOSHA AVE, TULSA, OK 74106-1313
(918) 704-0372
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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