Individual
BERTHA MAE AMOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 267-3246
Mailing address
4130 N. LINCOLN BLVD, OKLAHOMA CITY, OK 73105
(405) 267-3246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0101974
OK
Other
Enumeration date
02/03/2014
Last updated
07/21/2022
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