Individual
MRS. MANUEL ANTONIO CISNEROS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
2260 PALM BEACH LAKES BLVD STE 212, WEST PALM BEACH, FL 33409-3411
(561) 376-9305
(561) 576-9307
Mailing address
2260 PALM BEACH LAKES BLVD STE 212, WEST PALM BEACH, FL 33409-3411
(561) 376-9305
(561) 576-9307
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
299996179
FL
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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