Lee Rain Wallin
Community Health Worker in Canadian, OK. Individual provider (NPI-1).
NPI number1366724924
StatusActive
Last updated in NPPESSep 9, 2011
Details
- NPI
- 1366724924
- Entity type
- Individual (NPI-1)
- Name
- Lee Rain Wallin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2011
- Last updated
- Sep 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
69 Arrowhead LoopCanadian, OK 74425-5012
Phone 918-339-5800
Mailing address
69 Arrowhead LoopCanadian, OK 74425-5012
Phone 918-339-5800
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