Vivian Tadlock is a case management registered nurse in Prague, OK. Vivian Tadlock NPI is 1659901874. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
57533 MOCCASIN TRAIL RD
PRAGUE, OK
ZIP 74864-143
Phone: (405) 567-0054
The enumeration date for this NPI number is 1/16/2020 and was last updated on 1/16/2020.