Individual
SVETLANA BOBKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 345-2700
Mailing address
101122 S 3520 RD, SPARKS, OK 74869-9075
(918) 204-4852
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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