Individual
MELODY WITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 E 12TH ST APT 203, TULSA, OK 74119-2805
(918) 907-2152
Mailing address
12 E 12TH ST APT 203, TULSA, OK 74119-2805
(918) 907-2152
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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