Individual
KAILA ARELI CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-ASSISTANT
Contact information
Practice address
3201 CHERRY RIDGE ST, SAN ANTONIO, TX 78230-4823
(210) 692-0222
Mailing address
3201 CHERRY RIDGE ST, SAN ANTONIO, TX 78230-4823
(210) 692-0222
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35990
DSHS LICENSING
TX
Enumeration date
08/25/2017
Last updated
07/21/2022
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