Individual
TIJUANA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SW PENN AVE, BARTLESVILLE, OK 74003-3847
(918) 337-8080
(918) 337-8099
Mailing address
700 SW PENN AVE, BARTLESVILLE, OK 74003-3847
(918) 337-8080
(918) 337-8099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
10/15/2012
Last updated
10/22/2021
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