Ladonnia Holmes
Peer Specialist in Tulsa, OK. Individual provider (NPI-1).
NPI number1164064283
StatusActive
Last updated in NPPESOct 9, 2019
Details
- NPI
- 1164064283
- Entity type
- Individual (NPI-1)
- Name
- Ladonnia Holmes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2019
- Last updated
- Oct 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – |
Practice location
4867 S Sheridan Rd Ste 712bTulsa, OK 74145-5721
Phone 918-960-0392
Mailing address
4867 S Sheridan Rd Ste 712bTulsa, OK 74145-5721
Phone 918-960-0392
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