Individual
LITA CARLENE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 S GREATHOUSE DRIVE, 1680 S GREATHOUSE DRIVE, ATOKA, OK 74525
(580) 889-3553
Mailing address
1680 S GREATHOUSE DRIVE, ATOKA, OK 75452
(580) 889-3553
(580) 889-4050
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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