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Djaris Cisneros

Prosthetic/Orthotic Supplier in Independence, MO. Individual provider (NPI-1).

NPI number1932051133
StatusActive
Last updated in NPPESFeb 10, 2026

Details

NPI
1932051133
Entity type
Individual (NPI-1)
Name
Djaris Cisneros
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 10, 2026
Certification date
Feb 10, 2026
Last updated
Feb 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier1999134831MOYes

Practice location

2400 S Lees Summit Rd
Independence, MO 64055-1937

Phone 816-986-0444

Mailing address

2400 S Lees Summit Rd
Independence, MO 64055-1937

Phone 816-986-0444

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