Individual
AMANDA S WEIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 NW 39TH EXPY, OKLAHOMA CITY, OK 73112-3775
(866) 848-7555
Mailing address
4623 CREEK CT, OKLAHOMA CITY, OK 73135-4608
(405) 800-4189
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
L085007384
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
L085007384
OK
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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