Provider Demographics
NPI:1598584286
Name:PERKINS, CIEARRA MARIE
Entity type:Individual
Prefix:
First Name:CIEARRA
Middle Name:MARIE
Last Name:PERKINS
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 1:5653 RYEWYCK DR APT 4
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-4560
Mailing Address - Country:US
Mailing Address - Phone:419-779-4746
Mailing Address - Fax:
Practice Address - Street 1:5653 RYEWYCK DR APT 4
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-4560
Practice Address - Country:US
Practice Address - Phone:419-779-4746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health