Individual
SHALEITHA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 N ROCKWELL AVE APT B, OKLAHOMA CITY, OK 73127-3355
(405) 821-1806
Mailing address
1320 N ROCKWELL AVE APT B, OKLAHOMA CITY, OK 73127-3355
(405) 821-1806
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0069784
OK
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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