Individual
MRS. PATRICIA ESCARENO CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COA
Contact information
Practice address
2200 BERGQUIST DR. SUITE 1, 159TH MEDICAL WING, LACKLAND AFB, TX 78236-9908
(210) 292-2010
Mailing address
512 MIDNIGHT DR, SAN ANTONIO, TX 78258-7032
(210) 381-0206
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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