Individual
CAROLINA ISABEL ELASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5113 SE 15TH ST STE A, DEL CITY, OK 73115-3952
(405) 600-3252
Mailing address
2636 HUNTLEIGH DR, THE VILLAGE, OK 73120-3302
(682) 774-7089
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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