Individual provider · NPI-1

Noel A Cisneros, AT

Specialist/Technologist, Athletic Trainer · Yakima, WA

NPI number1881230647
StatusActive
Last updated in NPPESNov 26, 2019

Details

NPI
1881230647
Entity type
Individual (NPI-1)
Name
Mr. Noel A Cisneros
Credential
AT
Sex
Male
Sole proprietor
No
Enumeration date
Nov 26, 2019
Last updated
Nov 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer60047736WAYes

Practice location

212 S 6th Ave
Yakima, WA 98902-3303

Phone 509-573-2728

Mailing address

2503 Clinton Way
Yakima, WA 98902-5135

Phone 509-969-4292

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