Individual
FELOMINA CORAZON CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CG
Contact information
Practice address
10215 LAKE CITY WAY NE STE H, SEATTLE, WA 98125-7758
(206) 417-9904
Mailing address
10215 LAKE CITY WAY NE STE H, SEATTLE, WA 98125-7758
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1114367521
WA
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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