Provider Demographics
NPI:1689402927
Name:PLACE, CIERRA
Entity type:Individual
Prefix:
First Name:CIERRA
Middle Name:
Last Name:PLACE
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 1:4858 BRIDGE LN APT 7
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7932
Mailing Address - Country:US
Mailing Address - Phone:513-535-8779
Mailing Address - Fax:
Practice Address - Street 1:4858 BRIDGE LN APT 7
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7932
Practice Address - Country:US
Practice Address - Phone:513-535-8779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula