Individual
TWILA WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 W 15TH ST, EDMOND, OK 73013-2639
(405) 824-9607
Mailing address
1921 PEBBLE CREEK BLVD, EDMOND, OK 73003-3711
(405) 824-9607
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
15239
OK
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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