Individual
MRS. SUSAN MARLO WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
19605 MALONE RD, TECUMSEH, OK 74873-7210
(832) 867-1217
Mailing address
19605 MALONE RD, TECUMSEH, OK 74873-7210
(832) 867-1217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0107392
OK
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-65962
OK
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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