Individual
AMANDA MAE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
(405) 372-2202
Mailing address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
70098
OK
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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