Individual
AMANDA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 S MUSTANG RD, YUKON, OK 73099-6754
(405) 577-5477
(405) 577-5488
Mailing address
1307 S MILES AVE, EL RENO, OK 73036-5430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
119894
OK
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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