Individual
TAMIKA DASHAY WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1504 MCLISH ST, ARDMORE, OK 73401-3138
(580) 277-0802
Mailing address
1504 MCLISH ST, ARDMORE, OK 73401-3138
(580) 277-0802
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RO128406
OK
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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