Individual
ALFREDO CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 SOUTH FLANNAGAN AVE, LEBANON, VA 24266
(276) 883-8042
(276) 883-8044
Mailing address
71 SOUTH FLANNAGAN AVE, LEBANON, VA 24266
(276) 883-8042
(276) 883-8044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101056973
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821097130
—
VA
Enumeration date
07/19/2005
Last updated
10/10/2013
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