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Individual

MICHAEL ANTHONY CERVANTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
PO BOX 4202, DOWNEY, CA 90241-1202
(323) 559-5095
Mailing address
PO BOX 4202, DOWNEY, CA 90241-1202
(323) 559-5095

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6763
CA

Other

Enumeration date
04/07/2026
Last updated
04/07/2026
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