Individual
MRS. JOYETTE MESSIAH WOMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 KINGSTON DR, YUKON, OK 73099-5411
(405) 213-3521
Mailing address
1113 KINGSTON DR, YUKON, OK 73099-5411
(405) 213-3521
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1447559711
OK
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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