AMIAYA FORTENBERRY

TULSA, OK
NPI1316719305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  207739)
Enumeration Date2023-10-24
Last Update Date2023-10-24
Business Address
AMIAYA FORTENBERRY LPN
5550 S GARNETT RD STE 200
TULSA, OK 74146-6830
Phone number: 918-665-2501
Mailing Address
AMIAYA FORTENBERRY LPN
5550 S GARNETT RD STE 200
TULSA, OK 74146-6830
Phone number: 918-665-2501
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