Individual
OMAR K CEESAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10015 25TH AVE SE, EVERETT, WA 98208-4327
(425) 346-8586
Mailing address
10015 25TH AVE SE, EVERETT, WA 98208-4327
(425) 346-8586
(425) 948-6054
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
753403
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-1408663
IRS
WA
Enumeration date
08/26/2025
Last updated
10/02/2025
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