TAMALYA LYN WILLOUGHBY

SHAWNEE, OK
NPI1972857654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  0050130)
Enumeration Date2012-11-02
Last Update Date2012-11-02
Business Address
-- TAMALYA LYN WILLOUGHBY LPN
2307 GORDON COOPER DR
SHAWNEE, OK 74801-9007
Phone number: 405-878-4693
Mailing Address
-- TAMALYA LYN WILLOUGHBY LPN
544 N CENTER AVE
SHAWNEE, OK 74801-7215
Phone number: 405-878-4693