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Contact Information

DOLORES CISNEROS
3300 TULLY RD
SUITE D-5
MODESTO, CA95350-0836
 Phone: 209-550-7444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for DOLORES CISNEROS · (Female)

NPI # 1902125099
Status Active
Credentials
Entity Individual
Enumeration date 05/28/2010
Last updated 04/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 9319
  • OH License # 05297
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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