Individual
CALANDRA ANTONELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 BAFFY COURT, EDMOND, OK 73025
(818) 267-4352
Mailing address
905 BAFFY COURT, EDMOND, OK 73025
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
04/24/2014
Last updated
04/09/2015
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