Provider Demographics
NPI:1376365700
Name:ALCUITAS, ELAH MARIE GARCIA
Entity type:Individual
Prefix:
First Name:ELAH MARIE
Middle Name:GARCIA
Last Name:ALCUITAS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 S JAMESTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74112-6834
Mailing Address - Country:US
Mailing Address - Phone:580-235-8093
Mailing Address - Fax:
Practice Address - Street 1:1728 S JAMESTOWN AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74112-6834
Practice Address - Country:US
Practice Address - Phone:580-235-8093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program