Individual
DIANE CERVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 E 1ST ST, 3, LONG BEACH, CA 90802-5551
(415) 297-7806
Mailing address
1030 E 1ST ST, 3, LONG BEACH, CA 90802-5551
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95002118
CA
363LG0600X
Gerontology Nurse Practitioner
95002118
CA
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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