Individual
MR. FLETCHER WAYNE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3843 S 88TH EAST AVE, TULSA, OK 74145-1533
(539) 292-0106
Mailing address
3843 S 88TH EAST AVE, TULSA, OK 74145-1533
(539) 292-0106
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200232
OK
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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