Individual
LUCY P CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
4630 S LAKESHORE DR APT 176, TEMPE, AZ 85282-7174
(480) 522-7954
(877) 211-6856
Mailing address
2140 E PEBBLE RD STE 250, LAS VEGAS, NV 89123-3237
(702) 614-1149
(877) 211-6856
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN127821
AZ
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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