Organization
OPTIMA WEIGHT & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GONZALES (BUSINESS/HR MANAGER)
(405) 429-5148
Entity
Organization
Contact information
Practice address
1489 E 15TH ST, SUITE 108, EDMOND, OK 73013-5054
(405) 715-1919
(405) 212-5043
Mailing address
1489 E 15TH ST, SUITE 108, EDMOND, OK 73013-5054
(405) 715-1919
(405) 212-5043
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
OK
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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