MYKELAH FRAISE

TULSA, OK
NPI1295517258
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2023-10-16
Last Update Date2023-10-16
Business Address
MYKELAH FRAISE
1728 S CARSON AVE
TULSA, OK 74119-4610
Phone number: 918-406-3420
Mailing Address
MYKELAH FRAISE
1728 S CARSON AVE
TULSA, OK 74119-4610
Phone number: