JALON BIRDSHEAD

TULSA, OK
NPI1063258952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-07-01
Last Update Date2024-07-01
Business Address
JALON BIRDSHEAD
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
Mailing Address
JALON BIRDSHEAD
1256 N LEGION DR APT 13
TAHLEQUAH, OK 74464-2279
Phone number: 580-559-6699