Basic Information
| Provider Information | |||||||||
| NPI: | 1578003638 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CEESAY | ||||||||
| FirstName: | SAINABOU | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20921 44TH AVE W | ||||||||
| Address2: | A302 | ||||||||
| City: | LYNNWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980367748 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3478399632 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1100 DEXTER AVE N | ||||||||
| Address2: | 100 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981093598 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8558326727 | ||||||||
| FaxNumber: | 7726759100 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2017 | ||||||||
| LastUpdateDate: | 03/08/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 247200000X | Y | Technologists, Technicians & Other Technical Service Providers | Technician, Other |
No ID Information.