Individual
RACHELLE MAURINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
7503 W 60TH PL N, TULSA, OK 74126-2369
(405) 202-9426
Mailing address
6451 S 28TH WEST AVE, TULSA, OK 74132-1340
(405) 202-9426
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-312391
OK
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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