Individual
MR. AL CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1204 W 7TH ST, HATTIESBURG, MS 39401-2823
(601) 909-6832
(601) 909-6891
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1906
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R889967
MS
Other
Enumeration date
05/25/2021
Last updated
05/28/2021
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