Individual
NIKKI MONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4819 NW WILLIAMS AVE, LAWTON, OK 73505-3200
(580) 585-9009
Mailing address
4819 NW WILLIAMS AVE, LAWTON, OK 73505-3200
(580) 585-9009
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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