Individual
AMBERLY RENFROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1923 BEVERLY DR, SAPULPA, OK 74066-7662
(918) 237-6226
Mailing address
1923 BEVERLY DR, SAPULPA, OK 74066-7662
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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