AMANDA LEIGH FAIRCLOTH

CUSHING, OK
NPI1932704467
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-12-02
Last Update Date2020-12-02
Business Address
AMANDA LEIGH FAIRCLOTH
4017 E GRANDSTAFF
CUSHING, OK 74023-8708
Phone number: 904-803-7719
Mailing Address
AMANDA LEIGH FAIRCLOTH
4017 E GRANDSTAFF
CUSHING, OK 74023-8708
Phone number: 904-803-7719