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Amethyst'Ai Quintanilla-Luckey

NPI 1710703715 · on the registry since 2024 · sole proprietor

Practice

Address
1206 W Martin Luther King St
Muskogee, OK 74401
Phone
(539) 228-0449

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-25

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