Individual
SALVADOR CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
275 MEADOWLARK DR, SAN CLEMENTE, CA 92672-2618
(619) 792-2419
Mailing address
275 MEADOWLARK DR, SAN CLEMENTE, CA 92672-2618
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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