Individual
AMY NJENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
103 N BROADWAY ST STE B, MOORE, OK 73160-5108
(405) 514-7910
Mailing address
103 N BROADWAY ST STE B, MOORE, OK 73160-5108
(405) 514-7910
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0043678
OK
225700000X
Massage Therapist
Primary
172258-0
OK
Other
Enumeration date
01/31/2017
Last updated
02/01/2017
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