Individual
DELFINO GERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
121 SAWGRASS PT, HARRISON, AR 72601-3072
(870) 391-3871
(870) 391-3874
Mailing address
3352 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 521-1427
(479) 521-6520
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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