Individual
TAMARA DAWN HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1904 W BROADWAY AVE STE 1, SULPHUR, OK 73086-4248
(580) 622-6134
Mailing address
402 S MOODY DR, WYNNEWOOD, OK 73098-1210
(405) 331-9603
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60772
OK
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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