Individual
MRS. SHAWNTAE RICHELLE FOLAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0341
Mailing address
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0341
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
98789
OK
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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