Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ||
N | 175L00000X | Homeopath | ||
N | 225700000X | Massage Therapist |
NPI | 1023582350 |
---|---|
Provider Name | Dr. Sharde L Roebuckturner |
First Address | Tulsa, OK 74136-0511 |
Second Address | Tulsa, OK 74145-9000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2019 |
Last Update Date | 21/01/2019 |