Individual
JENNA HAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 W COMMERCE ST FL 5, ALTUS, OK 73521-3850
(580) 305-1315
Mailing address
220 BUENA VISTA ST, ALTUS, OK 73521-1104
(580) 305-1315
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2014
Last updated
08/13/2015
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