TIMOTHY NICKALAS TRAYLOR

OKLAHOMA CITY, OK
NPI1437479011
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-06-07
Last Update Date2010-06-07
Business Address
Mr. TIMOTHY NICKALAS TRAYLOR
6424 MASONS DR
OKLAHOMA CITY, OK 73142-4463
Phone number: 405-514-3232
Mailing Address
Mr. TIMOTHY NICKALAS TRAYLOR
PO BOX 721132
OKLAHOMA CITY, OK 73172-1132
Phone number: 405-514-3232