Individual
CORA CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1352 W EMPEROR PL, SALT LAKE CITY, UT 84123-1499
(801) 588-9080
Mailing address
1352 W EMPEROR PL, SALT LAKE CITY, UT 84123-1499
(801) 588-9080
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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