Individual
VANESSA WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 E COURT ST, ATOKA, OK 74525-2045
(580) 889-6459
Mailing address
213 E COURT ST, ATOKA, OK 74525-2045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
88869
OK
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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