Individual
CASEY CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 W HOSPITALITY LN STE 103, SAN BERNARDINO, CA 92408-3210
(909) 266-2748
Mailing address
325 W HOSPITALITY LN STE 103, SAN BERNARDINO, CA 92408-3210
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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