Individual
MR. NOEL A CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
212 S 6TH AVE, YAKIMA, WA 98902-3303
(509) 573-2728
Mailing address
2503 CLINTON WAY, YAKIMA, WA 98902-5135
(509) 969-4292
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
60047736
WA
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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