Individual
MRS. MELISSA DAREE WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, IBCLC
Contact information
Practice address
11200 N PORTLAND AVE, OKLAHOMA CITY, OK 73120-5045
(405) 936-1568
(405) 936-1513
Mailing address
11200 N PORTLAND AVE, OKLAHOMA CITY, OK 73120-5045
(405) 936-1568
(405) 936-1513
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R0081144
OK
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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