Individual
MRS. CONSUELO CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAP
Contact information
Practice address
12729 PIONEER BLVD, NORWALK, CA 90650-2873
(562) 207-2270
Mailing address
12729 PIONEER BLVD, NORWALK, CA 90650-2873
(562) 207-2270
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
21158
CA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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