Individual provider · Type 1 NPI

Canisia Bongfen Tatah

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

NPI number 1114683067 Active

Practice location

5209 S Harvard Ave Apt C
Tulsa, OK 74135-3546

Call (405) 875-2075 Map

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 1114683067

Canisia Bongfen Tatah's National Provider Identifier is 1114683067, issued on Nov 15, 2021. 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 Nov 15, 2021.