Individual
MRS. DONNA JO TIEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAR
Contact information
Practice address
2514 SW 58TH ST, OKLAHOMA CITY, OK 73119-5829
(479) 651-2618
Mailing address
2514 SW 58TH ST, OKLAHOMA CITY, OK 73119-5829
(479) 651-2618
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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