JODY BLAKE WHITE

TULSA, OK
NPI1912678707
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-09-22
Last Update Date2021-09-22
Business Address
Mr. JODY BLAKE WHITE BA
2323 S HARVARD AVE
TULSA, OK 74114-3301
Phone number: 918-293-2140
Mailing Address
Mr. JODY BLAKE WHITE BA
8305 S LAKEWOOD PL APT 7
TULSA, OK 74137-2144
Phone number: 918-286-9193