Individual
MISS AMANDA NICOLE KNITTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 N 31ST ST, BROKEN ARROW, OK 74014-1886
(918) 896-3821
Mailing address
1105 N 31ST ST, BROKEN ARROW, OK 74014-1886
(918) 896-3821
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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