Individual
ANGELA MAE WICHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN,WCC
Contact information
Practice address
1305 S CLARENCE NASH BLVD, WATONGA, OK 73772-4820
(580) 623-4991
(580) 623-5490
Mailing address
1305 S CLARENCE NASH BLVD, WATONGA, OK 73772-4820
(580) 623-4991
(580) 623-5490
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0056224
OK
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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