DAVID JACK RYAN

TULSA, OK
NPI1700629417
Entity TypeIndividual
GenderMale
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
-- DAVID JACK RYAN
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-561-1131
Mailing Address
-- DAVID JACK RYAN
11765 S CANTON AVE
TULSA, OK 74137-8403
Phone number: 918-863-7663