Individual
CHERYL LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6721 NW 42ND ST, BETHANY, OK 73008-2664
(405) 499-4615
(405) 499-4625
Mailing address
6721 NW 42ND ST, BETHANY, OK 73008-2664
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
0052117
OK
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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