Individual
TYLER DOMINIC MAFFEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(719) 232-4522
Mailing address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(719) 232-4522
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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