Individual
SYDNEY CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E HARVARD ST, GLENDALE, CA 91205-1114
(877) 541-3331
Mailing address
501 E HARVARD ST, GLENDALE, CA 91205-1114
(877) 541-3331
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
ABA PROVIDER
CA
Enumeration date
07/29/2020
Last updated
07/29/2020
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