Individual
FREHIWOT MARYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 E 96TH ST S APT 1128, TULSA, OK 74133-5472
(918) 644-2682
Mailing address
11100 E 96TH ST S APT 1128, TULSA, OK 74133-5472
(918) 644-2684
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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