Individual
BRANDON CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12637 S 265 W STE 300, DRAPER, UT 84020-5403
(801) 998-8428
Mailing address
2243 W CANYONLANDS CIR, TAYLORSVILLE, UT 84129-1705
(801) 652-6205
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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