Individual
LADAWNA SHAWNDRAE HOLLINGSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 E MOSES, CUSHING, OK 74023
(918) 225-5600
(918) 225-3026
Mailing address
1405 E MOSES, CUSHING, OK 74023
(918) 225-5600
(918) 225-3026
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100686560A
—
OK
Enumeration date
12/04/2015
Last updated
12/04/2015
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