Provider Demographics
NPI:1710688148
Name:HANNA-CHERUIYOT, CORDELIA SATTERFIELD
Entity Type:Individual
Prefix:
First Name:CORDELIA
Middle Name:SATTERFIELD
Last Name:HANNA-CHERUIYOT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CORDELIA
Other - Middle Name:
Other - Last Name:HANNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:600 LINCOLN AVE UNIT 92495
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91109-5707
Mailing Address - Country:US
Mailing Address - Phone:626-388-2191
Mailing Address - Fax:
Practice Address - Street 1:752 N MARENGO AVE APT 2
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-4148
Practice Address - Country:US
Practice Address - Phone:626-388-2191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula