Individual provider · NPI-1

Justina Kovach

Student in an Organized Health Care Education/Training Program · Muskogee, OK

NPI number1629862461
StatusActive
Last updated in NPPESApr 7, 2025

Details

NPI
1629862461
Entity type
Individual (NPI-1)
Name
Justina Kovach
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2025
Certification date
Apr 7, 2025
Last updated
Apr 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

826 S York St Apt 15b
Muskogee, OK 74403-7545

Phone 918-315-5985

Mailing address

826 S York St Apt 15b
Muskogee, OK 74403-7545

Is something wrong?

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