Provider Demographics
NPI:1902501141
Name:SEICEAN, MARLENE MILAGROS
Entity Type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:MILAGROS
Last Name:SEICEAN
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 1:554 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-2686
Mailing Address - Country:US
Mailing Address - Phone:440-317-0781
Mailing Address - Fax:
Practice Address - Street 1:554 RED OAK LN
Practice Address - Street 2:
Practice Address - City:BAY VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44140-2686
Practice Address - Country:US
Practice Address - Phone:440-317-0781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide