Individual
MRS. JENJIRA TANTEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 UNITED FOUNDERS BLVD STE 234, OKLAHOMA CITY, OK 73112-3903
(405) 293-3655
Mailing address
809 NW 18TH ST, OKLAHOMA CITY, OK 73106-6412
(818) 277-9214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
181774
OK
Other
Enumeration date
12/01/2019
Last updated
12/01/2019
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