Individual
LUCINA CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5860 S 108TH ST, HALES CORNERS, WI 53130-1912
(414) 529-3222
Mailing address
5860 S 108TH ST, HALES CORNERS, WI 53130-1912
(414) 529-3222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18741-40
WI
Other
Enumeration date
04/20/2020
Last updated
11/12/2020
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