Provider Demographics
NPI:1093604688
Name:ELMA, TALIA DALIT
Entity type:Individual
Prefix:
First Name:TALIA
Middle Name:DALIT
Last Name:ELMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 CEDAR ROCK LN UNIT 202
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-3844
Mailing Address - Country:US
Mailing Address - Phone:818-312-6474
Mailing Address - Fax:
Practice Address - Street 1:1501 CEDAR ROCK LN UNIT 202
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-3844
Practice Address - Country:US
Practice Address - Phone:818-312-6474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program