Individual
FELICIANO CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2275 S MAIN ST, CORONA, CA 92882-5303
(951) 279-3222
Mailing address
2275 S MAIN ST, CORONA, CA 92882-5303
(951) 279-3222
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
10/08/2025
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