Individual
SUSAN JACHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RB CMGT-BC
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5527
Mailing address
5101 NW ELM AVE, LAWTON, OK 73505-4739
(580) 301-1480
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R0075197
OK
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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