Individual
DIANA I ROLDAN CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2450 CLAY BANK RD, FAIRFIELD, CA 94533-1655
(707) 784-7150
Mailing address
2450 CLAY BANK RD, FAIRFIELD, CA 94533-1655
(707) 784-7150
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
721138
CA
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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