Individual
CAROLINA CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
540 G ST, CHULA VISTA, CA 91910-3604
(619) 422-8374
Mailing address
2397 PASEO ARCHER, CHULA VISTA, CA 91913-3829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
38386
CA
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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