Individual
TAMMY WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 SW 79TH ST, OKLAHOMA CITY, OK 73159-5136
(405) 413-0839
Mailing address
2140 SW 79TH ST, OKLAHOMA CITY, OK 73159-5136
(405) 413-0839
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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