Individual
RYAN PICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
19421 E 49TH ST S, BROKEN ARROW, OK 74014-1495
(918) 691-8585
Mailing address
19421 E 49TH ST S, BROKEN ARROW, OK 74014-1495
(918) 691-8585
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
88024
OK
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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