Individual
MRS. AMELIA JANELE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
2401 NW 23RD ST STE 101, OKLAHOMA CITY, OK 73107-2431
(405) 595-9600
Mailing address
1619 NW 164TH CIR, EDMOND, OK 73013-1681
(405) 830-8141
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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