Individual provider · Type 1 NPI

Julia Sophia De Leon

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

NPI number 1083571053 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Call (918) 582-1972 Map

Mailing address

3647 E 96th Pl
Tulsa, OK 74137-3926

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083571053

Julia Sophia De Leon's National Provider Identifier is 1083571053, issued on Jan 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Jan 9, 2026.