Provider Demographics
NPI:1407498710
Name:CYR, CELIA SORIANO
Entity Type:Individual
Prefix:MRS
First Name:CELIA
Middle Name:SORIANO
Last Name:CYR
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 1:12016 8TH AVE W
Mailing Address - Street 2:UNIT A
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-5639
Mailing Address - Country:US
Mailing Address - Phone:425-347-0579
Mailing Address - Fax:
Practice Address - Street 1:12016 8TH AVE W
Practice Address - Street 2:UNIT A
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-5639
Practice Address - Country:US
Practice Address - Phone:425-347-0579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider