Search › Oklahoma › Other Technician
Leisa Blossom
NPI 1922456375 · on the registry since 2016 · sole proprietor
Practice
- Address
- 500 West Chincapin
Westville, OK 74965 - Phone
- (918) 723-3181
- Organisation at this address
- Westville Public School
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Other Technician
247200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-26
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