Individual
TRISTAAN HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 INVERNESS CIR, SHAWNEE, OK 74801-0517
(405) 585-1996
Mailing address
1201 INVERNESS CIR, SHAWNEE, OK 74801-0517
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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