Individual
GINA M ALCAIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W 18TH ST, ADA, OK 74820-7423
(580) 436-6130
(580) 436-6135
Mailing address
609 E BROADWAY, ALLEN, OK 74825-8164
(580) 344-4847
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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