Individual
VICTORIA NOEL HALLAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
23286 NS 421 RD, NOWATA, OK 74048
(918) 440-8903
Mailing address
23286 NS 421 RD, NOWATA, OK 74048
(918) 440-8903
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0071274
OK
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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