Provider Demographics
NPI:1780837237
Name:CARY, ELOISA MARIA (LM)
Entity Type:Individual
Prefix:MRS
First Name:ELOISA
Middle Name:MARIA
Last Name:CARY
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 CORNWALL AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3415
Mailing Address - Country:US
Mailing Address - Phone:360-752-2229
Mailing Address - Fax:360-752-2228
Practice Address - Street 1:2430 CORNWALL AVE
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3415
Practice Address - Country:US
Practice Address - Phone:360-752-2229
Practice Address - Fax:360-752-2228
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW60026396176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife