Individual
MS. TAMI L CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5735 47TH AVE # 764, SACRAMENTO, CA 95824-4528
(916) 643-9152
(916) 399-2018
Mailing address
5735 47TH AVE # 764, SACRAMENTO, CA 95824-4528
(916) 643-9152
(916) 399-2018
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
779883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
779883
BOARD OF REGISTERED NURSING
CA
Enumeration date
02/18/2019
Last updated
02/18/2019
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