Individual
MELINDA LORRAINE CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRDH
Contact information
Practice address
11600 GLADIOLUS DR # A102-103, FORT MYERS, FL 33908-4567
(239) 466-9454
(239) 466-9422
Mailing address
11600 GLADIOLUS DR # A102-103, FORT MYERS, FL 33908-4567
(239) 466-9454
(239) 466-9422
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH27951
FL
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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