Most Relevant Information
Provider Data
| NPI Number: | 1003005927 |
| Provider Name: | MARICELA CISNEROS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2007 |
| Last Updated: | 10/16/2007 |
Provider Practice Location
496 APPLE TREE LANE
FAIRFIELD
CA
94533
Practice Location Phone/Fax
| Phone: | 5102607503 |
| Fax: |
Provider Mailing Location
496 APPLE TREE LN
FAIRFIELD
CA
945333207
Provider Mailing Phone/Fax
| Phone: | 5102607503 |
| Fax: |