Individual
ERICA YANET BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 N 121ST EAST AVE, TULSA, OK 74116-3838
(918) 798-8328
Mailing address
32 N 121ST EAST AVE, TULSA, OK 74116-3838
(918) 798-8328
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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