Provider Demographics
NPI:1336799139
Name:COJOCARU, ANNYLYSSE
Entity Type:Individual
Prefix:
First Name:ANNYLYSSE
Middle Name:
Last Name:COJOCARU
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 1:8824 188TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-8079
Mailing Address - Country:US
Mailing Address - Phone:206-605-4786
Mailing Address - Fax:
Practice Address - Street 1:8824 188TH ST SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-8079
Practice Address - Country:US
Practice Address - Phone:206-605-4786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker