Individual
FATIMA CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(831) 223-8338
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(831) 223-8338
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
02/12/2025
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