Provider Demographics
NPI:1417618075
Name:CISNEROS CAMPOS, SILVIA VIANNEY (INTERPRETER)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:VIANNEY
Last Name:CISNEROS CAMPOS
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 S PEARL ST APT 9
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-2353
Mailing Address - Country:US
Mailing Address - Phone:360-388-0092
Mailing Address - Fax:
Practice Address - Street 1:1111 S PEARL ST APT 9
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-2353
Practice Address - Country:US
Practice Address - Phone:360-388-0092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter