Individual
AYELEN YSEL CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TRS, CTRS
Contact information
Practice address
2172 E 7200 S, SPANISH FORK, UT 84660-9340
(866) 805-1199
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
(866) 805-1199
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
12153881-4002
UT
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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