Individual
MS. JARREN RYLEE WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 36TH AVE NW, NORMAN, OK 73072-3251
(580) 630-1632
Mailing address
605 SW 119TH ST APT 8107, OKLAHOMA CITY, OK 73170-3822
(580) 799-1316
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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