Mataeo John Anderson
Mataeo John Anderson is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1332 N Yale AveTulsa, OK 74115-5361
Phone: (405) 287-9711
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1063284305 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 30, 2023 |
| Last updated in NPPES | October 30, 2023 |
| Certification date | October 29, 2023 |
| Mailing address | 1332 N Yale Ave, Tulsa, OK 74115-5361 |
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