Provider Demographics
NPI:1245964378
Name:RIBAS, JAMILA KAMARIA
Entity type:Individual
Prefix:
First Name:JAMILA
Middle Name:KAMARIA
Last Name:RIBAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JAMILA
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6923 E 72ND ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2743
Mailing Address - Country:US
Mailing Address - Phone:918-557-4538
Mailing Address - Fax:
Practice Address - Street 1:6923 E 72ND ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2743
Practice Address - Country:US
Practice Address - Phone:918-557-4538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator