Individual
LA SHELL WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 GARLAND AVE, OKLAHOMA CITY, OK 73111-4710
(405) 889-7119
Mailing address
1304 GARLAND AVE, OKLAHOMA CITY, OK 73111-4710
(405) 889-7119
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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