Most Relevant Information
Provider Data
| NPI Number: | 1003593047 |
| Provider Name: | AUGUSTIN CISNEROS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/30/2023 |
| Last Updated: | 07/13/2023 |
Provider Practice Location
2560 W SHAW LN STE 104
FRESNO
CA
937112777
Practice Location Phone/Fax
| Phone: | 5594434800 |
| Fax: |
Provider Mailing Location
2560 W SHAW LN STE 104
FRESNO
CA
937112777
Provider Mailing Phone/Fax
| Phone: | 5594434800 |
| Fax: |