VIVIAN TADLOCK

Case Management Registered Nurse

NPI: 1659901874Individual

Specialties, Licenses & Credentials

Case Management Registered NursePrimary

Registered Nurse — Case Management

Code: 163WC0400X

50524(OK)

Contact & Hours

Address: 57533 MOCCASIN TRAIL RD
PRAGUE, OK 74864
Phone: (405) 567-0054

Quick Facts

NPI: 1659901874
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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