Provider Demographics
NPI:1265267249
Name:PULIDO, CECILIA ANN (MS-AES/HMS)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:ANN
Last Name:PULIDO
Suffix:
Gender:F
Credentials:MS-AES/HMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 RIVER AVE UNIT 40514
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-0806
Mailing Address - Country:US
Mailing Address - Phone:787-363-0100
Mailing Address - Fax:
Practice Address - Street 1:595 LONE OAK AVE APT 4
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-2473
Practice Address - Country:US
Practice Address - Phone:787-363-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer