ELIANA PROVENZANO-LEWIS

BIXBY, OK
NPI1821689373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OK  5512)
Enumeration Date2021-01-28
Last Update Date2024-01-22
Business Address
ELIANA PROVENZANO-LEWIS
16205 S 86TH EAST AVE
BIXBY, OK 74008-3272
Phone number: 918-840-0870
Mailing Address
ELIANA PROVENZANO-LEWIS
16205 S 86TH EAST AVE
BIXBY, OK 74008-3272
Phone number: 918-840-0870
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