Search › Oklahoma › 171M00000X
Amanda Faircloth
NPI 1932704467 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4017 E Grandstaff
Cushing, OK 74023 - Phone
- (904) 803-7719
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma