Individual
MRS. TAMIKA PEETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
501 SE FLOWER MOUND RD, LAWTON, OK 73501-6388
(405) 123-4567
Mailing address
501 SE FLOWER MOUND RD, LAWTON, OK 73501-6388
(405) 123-4567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
88586
OK
Other
Enumeration date
08/20/2020
Last updated
11/04/2022
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