Individual
DELORA MAY KAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3909 S MAPLE AVE, SAND SPRINGS, OK 74063-9103
(817) 312-2717
Mailing address
3909 S MAPLE AVE, SAND SPRINGS, OK 74063-9103
(817) 312-2717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
103792
OK
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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