Individual
ALMA ROSA CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
275 BAKER ST, COSTA MESA, CA 92626-4566
(714) 361-6760
Mailing address
275 BAKER ST, COSTA MESA, CA 92626-4566
(714) 361-6760
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
217032
CA
Other
Enumeration date
11/10/2021
Last updated
11/23/2021
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