Individual
ELENA CISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12345 DONAHUE PL, EL MONTE, CA 91732-1715
(626) 452-9554
Mailing address
12345 DONAHUE PL, EL MONTE, CA 91732-1715
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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