NPI 1003602376
Mariya Boben
Practice location
- Address
- 1111 W 17th St, Tulsa, OK 74107-1886
- Phone
- (918) 582-1972
- Mailing address
- 10805 NW 37th St, Yukon, OK 73099-2922
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003602376
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Apr 2025
- Record last updated
- 15 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.