Individual
AMANDA BETH INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 E KITTYHAWK DR, MIDWEST CITY, OK 73110-5313
(405) 532-0412
Mailing address
203 E KITTYHAWK DR, MIDWEST CITY, OK 73110-5313
(405) 532-0412
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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