TIFFANY P PHAN

OKLAHOMA CITY, OK
NPI1669723466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-09-20
Last Update Date2012-09-20
Business Address
-- TIFFANY P PHAN BHRS
3515 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73119-2100
Phone number: 405-426-9926
Mailing Address
-- TIFFANY P PHAN BHRS
5905 SAINT JAMES PL
OKLAHOMA CITY, OK 73179-7911
Phone number: 405-426-9926