Provider Demographics
NPI:1992527584
Name:MAINES, CIELO JOYCE OCAMPO
Entity type:Individual
Prefix:
First Name:CIELO JOYCE
Middle Name:OCAMPO
Last Name:MAINES
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 1:7951 QUEENS RD
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-6242
Mailing Address - Country:US
Mailing Address - Phone:443-900-0719
Mailing Address - Fax:
Practice Address - Street 1:7951 QUEENS RD
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-6242
Practice Address - Country:US
Practice Address - Phone:443-900-0719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory