TRAVICE L LEWALLEN

HEAVENER, OK
NPI1578319729
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-04-29
Last Update Date2024-04-29
Business Address
Miss TRAVICE L LEWALLEN
511 E 2ND ST
HEAVENER, OK 74937-3419
Phone number: 918-653-7718
Mailing Address
Miss TRAVICE L LEWALLEN
PO BOX 846
HEAVENER, OK 74937-0846
Phone number: 918-653-7718