Individual
MRS. ANDREA RENEE TARRANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3009 NW WILSON ST, FORT SILL, OK 73503-9042
(580) 458-2134
(580) 458-2314
Mailing address
424 SE LANCELOT LN, LAWTON, OK 73501-6392
(580) 458-2134
(580) 458-2314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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