Individual
MICHELLE CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3795 W SHIELDS AVE, FRESNO, CA 93722-5247
(559) 271-5030
(559) 271-5041
Mailing address
5379 W HOLLAND AVE, FRESNO, CA 93722-9162
(559) 618-6227
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
117374
CA
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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