Individual
AMANDA ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2537 E 56TH ST, TULSA, OK 74105-7503
(918) 730-8303
Mailing address
2537 E 56TH ST, TULSA, OK 74105-7503
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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