Individual
IISHA L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 423-8184
Mailing address
1201 N FRETZ AVE APT 46, EDMOND, OK 73003-5057
(405) 423-8184
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
06/03/2021
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