Individual
ALICE ELIZABETH CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 781-1647
Mailing address
1100 ROSEVILLE PKWY APT 1025, ROSEVILLE, CA 95678-4109
(951) 201-0139
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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