Provider Demographics
NPI:1326746082
Name:SOSA-CUEVAS, MARLENE
Entity Type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:
Last Name:SOSA-CUEVAS
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 1:3224 SE 54TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-1444
Mailing Address - Country:US
Mailing Address - Phone:209-321-2985
Mailing Address - Fax:
Practice Address - Street 1:3224 SE 54TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-1444
Practice Address - Country:US
Practice Address - Phone:209-321-2985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator