Provider Demographics
NPI:1215377445
Name:SUNG, CECILIA MARGARET MANAOIS (RN)
Entity Type:Individual
Prefix:MS
First Name:CECILIA
Middle Name:MARGARET MANAOIS
Last Name:SUNG
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:10966 OHIO AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-5403
Mailing Address - Country:US
Mailing Address - Phone:909-615-8894
Mailing Address - Fax:
Practice Address - Street 1:8990 SPRINGBROOK DR NW STE 250
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-5884
Practice Address - Country:US
Practice Address - Phone:763-398-0099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2014-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNR1977514163W00000X
GU93135367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse