WILLETTA RUTH GRAYSON

IDABEL, OK
NPI1619106853
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: OK  0810)
Enumeration Date2009-07-09
Last Update Date2009-07-09
Business Address
-- WILLETTA RUTH GRAYSON Service Provider
RR 1 BOX 686
IDABEL, OK 74745-9779
Phone number: 580-286-5102
Mailing Address
-- WILLETTA RUTH GRAYSON Service Provider
RR 1 BOX 686
IDABEL, OK 74745-9779
Phone number: 580-286-5102