Individual
MRS. SHAMMAH KRIS DELASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2211 N LEWIS PL, TULSA, OK 74110-2125
(918) 902-9368
Mailing address
2211 N LEWIS PL, TULSA, OK 74110-2125
(918) 902-9368
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11190051
VA
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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