Individual
SHAMIA PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10605 E 66TH ST APT 224, TULSA, OK 74133-2641
(991) 622-8010
Mailing address
3171 S 129TH EAST AVE, TULSA, OK 74134-3205
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
200437
OK
164X00000X
Licensed Vocational Nurse
Primary
699148
CA
Other
Enumeration date
05/28/2022
Last updated
05/28/2022
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