MRS. Alisha La'trice Mcconnell

NPI #1861732919 in Tulsa, Oklahoma

Provider Information

NPI Number: 1861732919
Entity Type: Individual
Name: MRS. Alisha La'trice Mcconnell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 27, 2013
Last Updated: Feb 27, 2013

Practice Location

Address: 1128 N BRADEN AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74115-6417
Phone: (918) 951-2867

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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