NPI 1497562441
Brandon Jay Trentham
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
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.