Whalio Doctors

NPI 1497562441

Brandon Jay Trentham

Practitioner Community Health Worker Tulsa, OK

Practice location

Address
5350 S Peoria Ave STE B, Tulsa, OK 74105-6820
Phone
(918) 749-1991
Mailing address
313 W 119th St S, Jenks, OK 74037-3357

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X

Registry record

NPI
1497562441
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Dec 2024
Record last updated
13 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.