Individual
IRMA CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W LACEY BLVD, HANFORD, CA 93230-4326
(559) 584-1896
Mailing address
707 W LACEY BLVD, HANFORD, CA 93230-4326
(559) 584-1896
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
29240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29240
PHARMACY TECHNICIAN
CA
Enumeration date
01/12/2022
Last updated
01/12/2022
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