Individual
ELLEN ROCHELLE TAHHAHWAH-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5270
Mailing address
1102 SW NEW YORK AVE, LAWTON, OK 73501-7320
(580) 678-7982
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
825561
TX
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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