Individual ProviderEvalina Alice StreetStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1110 N Lee Ave, Oklahoma City, OK 73103-2612(405) 231-3000PECOS EnrollmentBased on the most recent information from CMS, provider Evalina Alice Street does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1255185906Provider TypeIndividualFull NameStreet, Evalina AliceTitleDr.CredentialDOGenderFemaleSole ProprietorYesEnumeration Date4/17/2024Last Updated4/17/2024Contact InformationPractice LocationPractice Address1110 N Lee Ave, Oklahoma City, OK 73103-2612Phone(405) 231-3000FaxUnlisted FaxMailing LocationMailing Address1110 N Lee Ave, Oklahoma City, OK 73103-2612PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer