Individual
VICKEY HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108089 S 4670 RD, SALLISAW, OK 74955-8587
(918) 775-5525
(918) 775-5349
Mailing address
108089 S 4670 RD, SALLISAW, OK 74955-8587
(918) 775-5525
(918) 775-5349
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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