Grayson Revilla
Grayson Revilla is a Case Manager/Care Coordinator in Tulsa, Oklahoma. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
6128 E 38th StTulsa, OK 74135-5832
Phone: (539) 895-9344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1962284745 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 17, 2023 |
| Last updated in NPPES | October 17, 2023 |
| Certification date | October 17, 2023 |
| Mailing address | 6128 E 38th St, Tulsa, OK 74135-5832 |
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