Individual
JESUS CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2056 GLENDA RD, CERES, CA 95307-2533
(209) 447-9506
Mailing address
2056 GLENDA RD, CERES, CA 95307-2533
(209) 447-9506
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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