DESTANIE BROOKE DENNIS

TULSA, OK
NPI1366285272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-06-18
Last Update Date2024-06-18
Business Address
DESTANIE BROOKE DENNIS DO
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
Mailing Address
DESTANIE BROOKE DENNIS DO
303 BAYOU RD
FORT GIBSON, OK 74434-7505
Phone number: 918-869-3021