Individual
BRITTANY BENTIVEGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 W ARCHER ST, TULSA, OK 74103-1807
(918) 583-5588
(918) 217-1108
Mailing address
1224 S FRANKFORT AVE, APARTMENT 3, TULSA, OK 74120-4271
(513) 310-7619
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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