Individual
QUINTO ACKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1337 NW 105TH TER, OKLAHOMA CITY, OK 73114-5203
(405) 865-7174
Mailing address
1337 NW 105TH TER, OKLAHOMA CITY, OK 73114-5203
(405) 865-7174
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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