Individual
ELISSA ANN ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MCKINLEY AVE, CHANDLER, OK 74834-1622
(405) 258-3040
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 258-3040
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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