Individual
MISS KIMBERLY N CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
445 N RESERVOIR ST, LANCASTER, PA 17602-2447
(717) 587-3497
Mailing address
1031 W MAIN ST APT L, MOUNT JOY, PA 17552-9773
(717) 623-3180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005560
PA
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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