Individual
TONYA HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-2252
(580) 354-5529
Mailing address
5312 NW COLUMBIA AVE, LAWTON, OK 73505-5729
(580) 583-6818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83936
OK
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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