Individual
TAMMY MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5550 S GARNETT RD, TULSA, OK 74146-6831
(918) 665-2501
(918) 665-3966
Mailing address
11832A HICKORY LN, CLAREMORE, OK 74017-6889
(918) 521-0367
(918) 665-3966
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0053793
OK
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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