Individual
AMANDA K FIRESHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1697 S GREATHOUSE DR, ATOKA, OK 74525-3407
(580) 889-5555
Mailing address
1697 S GREATHOUSE DR, ATOKA, OK 74525-3407
(580) 889-5555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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