Individual
YAZMIN J. CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4423 W SUNNYSIDE AVE, GLENDALE, AZ 85304-3509
(480) 798-7288
Mailing address
4423 W SUNNYSIDE AVE, GLENDALE, AZ 85304-3509
(480) 798-7288
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT19440
AZ
246RP1900X
Phlebotomy Technician
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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