Reida Lori Wasson

NPI #1992975387 in Chickasha, Oklahoma

Provider Information

NPI Number: 1992975387
Entity Type: Individual
Name: Reida Lori Wasson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Mar 3, 2008
Last Updated: Mar 3, 2008

Practice Location

Address: 2702 S 17TH ST
City: Chickasha
State: Oklahoma
ZIP Code: 73018-6408
Phone: (405) 320-5040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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