Individual
ELIZABETH CANSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
332 VALERIE ST, SANTA MARIA, CA 93454-4824
(805) 345-6619
Mailing address
332 VALERIE ST, SANTA MARIA, CA 93454-4824
(805) 345-6619
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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