SAMARA JA'NEL JACK

TULSA, OK
NPI1245550433
Former NameSAMARA JA'NEL RAMSEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  1919)
Enumeration Date2010-06-10
Last Update Date2019-02-28
Business Address
Mrs. SAMARA JA'NEL JACK PA-C
7858 S OLYMPIA AVE
TULSA, OK 74132-1857
Phone number: 918-986-9200
Mailing Address
Mrs. SAMARA JA'NEL JACK PA-C
1705 E 19TH ST STE 302
TULSA, OK 74104-5410
Phone number: 918-748-7585