Individual
MICHELLE LENN BENARDELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
10609 SONGBIRD LN, MIDWEST CITY, OK 73130-7018
(580) 630-3355
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
08/01/2023
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