Individual
JANICE LEE PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8234 HIGHWAY 9, WETUMKA, OK 74883-9529
(405) 786-2203
(405) 786-2625
Mailing address
8234 HIGHWAY 9, WETUMKA, OK 74883-9529
(405) 786-2203
(405) 786-2625
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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