Individual
AMELIA HENISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 NW 63RD ST, APT 30, OKLAHOMA CITY, OK 73116-4810
(717) 887-3311
(405) 225-7326
Mailing address
2700 NW 63RD ST, APT 30, OKLAHOMA CITY, OK 73116-4810
(717) 887-3311
(405) 225-7326
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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