Individual
AMANDA MARIE LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 SE 24TH ST, DEL CITY, OK 73115-4111
(405) 473-3201
Mailing address
4725 SE 24TH ST, DEL CITY, OK 73115-4111
(405) 473-3201
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/18/2021
Last updated
04/18/2021
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