Individual provider · Type 1 NPI

Leisa Blossom

Other Technician · Westville, OK

NPI number 1922456375 Active

Practice location

500 West Chincapin
Westville, OK 74965

Call (918) 723-3181 Map

Mailing address

PO Box 410
Westville, OK 74965-0410

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1922456375

Leisa Blossom's National Provider Identifier is 1922456375, issued on May 26, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Westville, OK. The record was last updated on May 26, 2016.