Individual
LINDA ZWIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 WEESIE ST, KINGSTON, OK 73439-9166
(580) 564-6061
Mailing address
6101 WEESIE ST, KINGSTON, OK 73439-9166
(580) 564-6061
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100687670
PUBLIC SCHOOLS
OK
Enumeration date
08/27/2015
Last updated
08/27/2015
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