Individual
MARTHA RHOADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 HENSLEY DR, TAHLEQUAH, OK 74464-5221
(918) 207-3096
(918) 207-3064
Mailing address
PO BOX 558, TAHLEQUAH, OK 74465-0558
(918) 207-3096
(918) 207-3064
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
23905
OK
Other
Enumeration date
06/16/2007
Last updated
07/08/2007
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