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Individual

ANDREA SUE CERVENKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
751 S BASCOM AVE, URGENT CARE CLINIC, SAN JOSE, CA 95128-2604
(408) 885-5249
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-0000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A63427
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A345270
CA
Enumeration date
02/21/2006
Last updated
07/09/2007
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