SearchOklahoma101YA0400X

Shanna Willoughby

NPI 1437345105 · on the registry since 2007 · sole proprietor

Practice

Address
300 N Dalton St
Valliant, OK 74764
Phone
(580) 286-5777
Fax
(580) 286-5132
Clinicians at this address
24

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-09-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma