Individual
ANTONIA ANGELINE BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3125 N BRIARWOOD AVE, BETHANY, OK 73008-3827
(405) 487-6887
Mailing address
3125 N BRIARWOOD AVE, BETHANY, OK 73008-3827
(405) 487-6887
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R0099746
OK
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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