Individual
MRS. LOYCE MAE PESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
627 GRANDVIEW AVE, PAWHUSKA, OK 74056-4201
(918) 287-5645
(918) 287-5572
Mailing address
PO BOX 946, PAWHUSKA, OK 74056-0946
(918) 287-3776
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0043494
OK
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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