ROBERT ANTHONY DATTALA

TULSA, OK
NPI1386070142
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  56606)
Enumeration Date2013-09-24
Last Update Date2013-09-24
Business Address
Mr. ROBERT ANTHONY DATTALA LPN
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
Mailing Address
Mr. ROBERT ANTHONY DATTALA LPN
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224