Individual
ZSOFIA BALLA MONJEZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
(405) 271-2316
Mailing address
821 LAKEVIEW DR, MOORE, OK 73160-2627
(405) 394-5042
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B30592262
—
OK
Enumeration date
08/19/2022
Last updated
08/19/2022
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