Provider Demographics
NPI:1841781325
Name:EUSEBIO SORIANO, ANICEL
Entity Type:Individual
Prefix:
First Name:ANICEL
Middle Name:
Last Name:EUSEBIO SORIANO
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 1:5502 D ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6141
Mailing Address - Country:US
Mailing Address - Phone:202-246-5721
Mailing Address - Fax:
Practice Address - Street 1:5502 D ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-6141
Practice Address - Country:US
Practice Address - Phone:202-246-5721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty