Danielle Justine Waller
Danielle Justine Waller is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2025
Practice location Address checks out
1111 W 17th StTulsa, OK 74107-1886
Phone: (918) 906-1674
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (OK) |
|---|
Record details
| NPI number | 1932095254 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 13, 2025 |
| Last updated in NPPES | June 13, 2025 |
| Certification date | June 12, 2025 |
| Mailing address | 3144 Woodward Blvd, Tulsa, OK 74105-2038 |
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Riley Edmond Walker
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Jordan Paige Wallace
1111 W 17th St, Tulsa, OK 74107-1886 · (918) 582-1972
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Keshawn Latrell Wallace
1111 W 17th St, Tulsa, OK 74107-1886 · (918) 582-1972
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