Individual
MS. LETICIA MARIE CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3129
(303) 651-5332
Mailing address
1703 WHITEHALL DR UNIT 2E, LONGMONT, CO 80504-2545
(719) 331-8105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17727
CO
183500000X
Pharmacist
32054
FL
183500000X
Pharmacist
35293
TX
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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