Individual
TASHANNA GILDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
713 S SAINT PAUL AVE, MIDWEST CITY, OK 73130-4515
(405) 210-6930
Mailing address
713 S SAINT PAUL AVE, MIDWEST CITY, OK 73130-4515
(405) 210-6930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0087334
OK
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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