Leisa Blossom
Leisa Blossom is an Other Technician in Westville, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2016
Practice location Address checks out
500 W ChincapinWestville, OK 74965
Phone: (918) 723-3181
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X (OK) |
|---|
Record details
| NPI number | 1922456375 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 26, 2016 |
| Last updated in NPPES | May 26, 2016 |
| Mailing address | Po Box 410, Westville, OK 74965-0410 |
Other providers in Westville
-
Misty Brown
500 W Chincapin, Westville, OK 74965 · (918) 723-3181
-
Stephanie Crittenden
500 W Chincapin, Westville, OK 74965-6011 · (918) 723-3181
-
Pamela S Dickinson
500 W Chincapin, Westville, OK 74965 · (918) 723-3181
-
Mrs. Lisa Farabee
500 W Chincapin, Westville, OK 74965 · (918) 723-3181