Individual
MR. DAVID JAMES CERVANTES-VIBAT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
167 LIMESTONE DR, VALLEJO, CA 94589-2177
(707) 319-0674
Mailing address
114 BANBURY WAY, AMERICAN CANYON, CA 94503-4118
(707) 319-0674
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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