Individual
ASHLEY WESTMORELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E ILLINOIS AVE STE 4, VINITA, OK 74301-3202
(918) 824-1310
Mailing address
2 S COO Y YAH ST, SUITE 4, PRYOR, OK 74361-4636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200476870B
—
OK
Enumeration date
03/21/2013
Last updated
03/02/2020
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