Provider Demographics
NPI:1376883090
Name:TERCIER, CYNTHIA
Entity Type:Individual
Prefix:MISS
First Name:CYNTHIA
Middle Name:
Last Name:TERCIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1087
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-8087
Mailing Address - Country:US
Mailing Address - Phone:917-574-3021
Mailing Address - Fax:
Practice Address - Street 1:2467 CLEGHORN ST APT 7
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3163
Practice Address - Country:US
Practice Address - Phone:917-574-3021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28179899390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program