Individual
ALEJANDRO RENE CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
800 S HAM LN, LODI, CA 95242-3543
(951) 533-7033
Mailing address
800 S HAM LN, LODI, CA 95242-3543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
298958
CA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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