Individual
AMBER JANUARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 424-7711
Mailing address
9900 W HIGHWAY 66 APT 704, YUKON, OK 73099-0011
(501) 247-3809
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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