LISHA RYANNE PORCH-PETITT

TULSA, OK
NPI1104054147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364S00000X Clinical Nurse Specialist
(Licence: OK  0058269)
Enumeration Date2009-06-29
Last Update Date2009-07-31
Business Address
-- LISHA RYANNE PORCH-PETITT CNS
2000 S WHEELING AVE STE 200
TULSA, OK 74104-5649
Phone number: 918-748-7854
Mailing Address
-- LISHA RYANNE PORCH-PETITT CNS
1515 N HARVARD AVE STE E
TULSA, OK 74115-4957
Phone number: 918-832-6049