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Tammy Otero, LADC/MH

NPI 1376199596 · on the registry since 2019 · sole proprietor

Practice

Address
12501 W Fountain Rd
Tonkawa, OK 74653
Phone
(505) 263-1731

Additional practice sites

  • 827 E Hubbard Rd, Ponca City, OK

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
101YA0400X
171M00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma