Individual
TODD CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
ISU THOMAS B. THIELEN STUDENT HEALTH CENTER, UNION & SHELDON DR., AMES, IA 50011-2260
(515) 294-5801
(515) 294-7180
Mailing address
ISU THOMAS B. THIELEN STUDENT HEALTH CENTER, UNION & SHELDON DR., AMES, IA 50011-2260
(515) 294-5801
(515) 294-7180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18731
IA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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