Individual
ROBERTA I CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
897 E CHASE DR, CORONA, CA 92881-3940
(951) 212-7096
Mailing address
897 E CHASE DR, CORONA, CA 92881-3940
(951) 394-2087
(855) 395-0872
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-21056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811490238
163WL0100X
CA
Enumeration date
03/12/2018
Last updated
08/16/2022
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