Individual
JORDAN CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12631 E 17TH AVE STE C316, AURORA, CO 80045-2527
(303) 724-6595
Mailing address
12631 E 17TH AVE STE C316, AURORA, CO 80045-2527
(303) 724-6595
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0009545
CO
Other
Enumeration date
05/05/2021
Last updated
06/25/2023
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