Individual
CRYSTAL DENAE TIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 SKYLANE DR, NORMAN, OK 73071-7930
(405) 613-2078
Mailing address
109 SKYLANE DR, NORMAN, OK 73071-7930
(405) 402-9119
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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