Individual
GLENDA CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 S ELLSWORT AVE, MARSHALL, MO 65340
(660) 815-5388
Mailing address
1324 S ELLSWORTH AVE, MARSHALL, MO 65340-3059
(660) 815-5388
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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