SearchOklahoma171M00000X

Gwendolyn Wisdom

NPI 1659977858 · on the registry since 2020 · sole proprietor

Practice

Address
403 N Thompson
Vinita, OK 74301
Phone
(918) 323-1572

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-11

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