Individual
CESAR CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16988 S HARLAN RD, LATHROP, CA 95330-8738
(209) 468-3878
(209) 774-2750
Mailing address
PO BOX 2009, STOCKTON, CA 95201-2009
(209) 468-3878
(209) 774-2750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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