Provider Demographics
NPI:1013237494
Name:CIELO, CHERRYZEL A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHERRYZEL
Middle Name:A
Last Name:CIELO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6653 MONTEVISTA DR SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-8221
Mailing Address - Country:US
Mailing Address - Phone:253-335-6918
Mailing Address - Fax:
Practice Address - Street 1:105 WASHINGTON AVE N
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-4438
Practice Address - Country:US
Practice Address - Phone:253-373-0156
Practice Address - Fax:253-373-1308
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00050875183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist