Individual
SHILMILA LATASHA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 E PERKINS AVE, GUTHRIE, OK 73044-5804
(405) 282-8232
Mailing address
3900 LARKWOOD DR, OKLAHOMA CITY, OK 73115-2828
(405) 812-4102
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
B080852988
OK
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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