SHAMIA PELTON

TULSA, OK
NPI1013656073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  699148)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: OK  200437)
Enumeration Date2022-05-28
Last Update Date2022-05-28
Business Address
SHAMIA PELTON
10605 E 66TH ST APT 224
TULSA, OK 74133-2641
Phone number: 991-622-8010
Mailing Address
SHAMIA PELTON
3171 S 129TH EAST AVE
TULSA, OK 74134-3205
Phone number: