Individual
BRITTANY ELIS WALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8015 S KLEIN AVE, OKLAHOMA CITY, OK 73139
(405) 473-3575
Mailing address
8015 S KLEIN AVE, OKLAHOMA CITY, OK 73139-2552
(405) 473-3575
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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