Individual
ALYSSA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 RED OAK DR, ARDMORE, OK 73401-1099
(720) 427-3243
Mailing address
1504 RED OAK DR, ARDMORE, OK 73401-1099
(720) 427-3243
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S083827461
OK
Other
Enumeration date
04/02/2016
Last updated
04/02/2016
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