Individual
DR. JORDAN CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD DOCTORATE
Contact information
Practice address
6011 RANGEWOOD DR, COLORADO SPRINGS, CO 80918-7301
(719) 593-7119
Mailing address
5531 NORTH UNION BLVD BUILDING J APT304, COLORADO SPRINGS, CO 80918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0024805
CO
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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