Individual
MRS. CYNTHIA BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10621 HOLLY ST, ALTA LOMA, CA 91701-5357
(909) 484-1116
Mailing address
10621 HOLLY ST, ALTA LOMA, CA 91701-5357
(909) 484-1116
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
94488
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/18/2021
Last updated
10/23/2024
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