Individual
JUAN JOSE CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
7710 W IH 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Mailing address
7710 W IH 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
960742
TX
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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