Individual
VIRGINIA CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSE
Contact information
Practice address
1301 COMMERCIAL AVE UNIT 101, OXNARD, CA 93030-7538
(805) 637-8823
Mailing address
1301 COMMERCIAL AVE UNIT 101, OXNARD, CA 93030-7538
(805) 637-8823
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT37328
CA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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