Individual
MRS. DEBORRAH CAROLINE CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTH&WELLNESSCOACH
Contact information
Practice address
17298 WOMBLE MILL RD, ZUNI, VA 23898-3543
(912) 441-6288
Mailing address
514 AMERICAS WAY PMB18056, BOX ELDER, SD 57719
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN165950
GA
171400000X
Health & Wellness Coach
Primary
270559322
CA
Other
Enumeration date
03/10/2020
Last updated
07/03/2023
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