Individual
BLANCA ESTELA CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10662 VISTA DEL SOL DR, EL PASO, TX 79935-4520
(915) 855-9333
(915) 855-9213
Mailing address
6611 BOEING DR, EL PASO, TX 79925-1010
(915) 780-6576
(915) 780-5303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110938
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110938
LICENSE
TX
Enumeration date
01/19/2021
Last updated
01/19/2021
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