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ALFONSO ALEJANDRO CISNEROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(626) 758-9601
Mailing address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(626) 758-9601

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
262175
CA

Other

Enumeration date
02/07/2023
Last updated
02/07/2023
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