Provider Demographics
NPI:1356946834
Name:CURTIS, MAJALE MARIE
Entity type:Individual
Prefix:
First Name:MAJALE
Middle Name:MARIE
Last Name:CURTIS
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 1:445 E TURKEYFOOT LAKE RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-4105
Mailing Address - Country:US
Mailing Address - Phone:234-678-0047
Mailing Address - Fax:234-678-9345
Practice Address - Street 1:445 E TURKEYFOOT LAKE RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-4105
Practice Address - Country:US
Practice Address - Phone:234-678-0047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7611041Medicaid