Individual
NICKI LYNN ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FSPI
Contact information
Practice address
2250 N AIRPORT RD, WEATHERFORD, OK 73096-3351
(580) 375-6306
Mailing address
2250 N AIRPORT RD, WEATHERFORD, OK 73096-3351
(580) 375-6306
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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