Individual
ELISSA FABEOLA CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1822 16TH ST, COLUMBUS, NE 68601-4507
(402) 835-9653
Mailing address
555 17TH AVE, COLUMBUS, NE 68601-6901
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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