KASSIDY DESROCHE

TULSA, OK
NPI1881368645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2021-08-05
Last Update Date2021-08-05
Business Address
KASSIDY DESROCHE
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-561-1145
Mailing Address
KASSIDY DESROCHE
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: