Latricia Edna Shambles

NPI #1265948004 in Nowata, Oklahoma

Provider Information

NPI Number: 1265948004
Entity Type: Individual
Name: Latricia Edna Shambles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 15, 2017
Last Updated: Dec 15, 2017

Practice Location

Address: 111 W DELAWARE AVE
City: Nowata
State: Oklahoma
ZIP Code: 74048-2616
Phone: (918) 273-1841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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