Individual
AMBER KOMONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8921 S MINGO RD, TULSA, OK 74133-5841
(918) 348-0274
Mailing address
8921 S MINGO RD, TULSA, OK 74133-5841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0065051
OK
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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