Individual
ALYSSA CORI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 Q ST NW # B, ARDMORE, OK 73401-4406
(580) 341-8451
Mailing address
10 Q ST NW # B, ARDMORE, OK 73401-4406
(580) 341-8451
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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