Individual
TAMMY GEARHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 436-3980
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 436-3980
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
69643
OK
Other
Enumeration date
09/01/2016
Last updated
09/20/2016
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