Individual
LEOLA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4405 SE 23RD ST, DEL CITY, OK 73115-3203
(405) 535-3859
Mailing address
4405 SE 23RD ST, DEL CITY, OK 73115-3203
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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