Individual
TAMMY DIANA ZOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10501 E 91ST ST, TULSA, OK 74133-5790
(918) 307-6390
Mailing address
5406 W 90TH ST N, PORTER, OK 74454-2696
(918) 521-3612
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
78080
OK
Other
Enumeration date
06/28/2020
Last updated
06/28/2020
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