Individual
TAMMY JO MCDANNALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 WILLIAMS AVE, WOODWARD, OK 73801-7713
(580) 256-9700
Mailing address
PO BOX 394, VICI, OK 73859-0394
(580) 273-4333
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0058618
OK
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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