Individual
THELMA DIANNA SMALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
(580) 353-6798
Mailing address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
(580) 353-6798
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0052643
OK
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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