Individual
YAMA YUMICKA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
2325 S HARVARD AVE, TULSA, OK 74114-3300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
63758
OK
376K00000X
Nurse's Aide
16861
OK
Other
Enumeration date
09/26/2007
Last updated
02/04/2015
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