Individual
JULIAN CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
5801 EUBANK BLVD NE APT 9, ALBUQUERQUE, NM 87111-6180
(757) 773-2922
Mailing address
5801 EUBANK BLVD NE APT 9, ALBUQUERQUE, NM 87111-6180
(757) 773-2922
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3889
NM
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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