Individual
ANITA S GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 S BLACKWELDER AVE, OKLAHOMA CITY, OK 73108-1418
(405) 604-8947
Mailing address
316 S BLACKWELDER AVE, OKLAHOMA CITY, OK 73108-1418
(405) 604-8947
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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