Individual
MRS. HEATHER LYNN HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(702) 235-5473
Mailing address
333120 E SHADY MEADOWS DR, WELLSTON, OK 74881-7101
(702) 235-5473
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/31/2018
Last updated
11/19/2024
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