Individual
TIFFANY RENAY HIGHTOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 924-9014
Mailing address
7013 TALBOT CANYON RD, OKLAHOMA CITY, OK 73162-6626
(405) 924-9014
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60321
OK
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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