Loretta Sue Mathia is a Driver based in Grove, OK. Loretta Sue Mathia practices in Grove, OK. The NPI Number for Loretta Sue Mathia is 1780807354 and holds a License No. (Oklahoma).
The current practice location address for Loretta Sue Mathia is 25510 S 607 Ln, Grove, OK and can be reached out via phone at 918-786-2908.
Location: 25510 S 607 Ln, Grove, OK, 74344-0262
Provider Profile Details
NPI Number
1780807354
Provider Name
Loretta Sue Mathia
Credential
Provider Entity Type
Individual
Gender
Female
Address
25510 S 607 Ln, Grove, OK, 74344-0262
Phone Number
918-786-2908
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
25510 S 607 Ln
City
State
Zip
74344-0262
Phone Number
918-786-2908
Fax Number
Provider Business Mailing Address Details
Address
25510 S 607 Ln
City
State
Zip
74344-0262
Phone Number
918-786-2908
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
(Oklahoma)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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