Individual
NELLIE DAWN WHITLATCH-CROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4317 W 6TH ST, SKIATOOK, OK 74070-6214
(918) 346-5476
Mailing address
4317 W 6TH ST, SKIATOOK, OK 74070-6214
(918) 346-5476
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
06/05/2023
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