Individual
DAVID CERVANTES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 ELLIS ST, FT CARSON, CO 80913-4173
(719) 526-5600
Mailing address
1115 PIPESTONE CT, COLORADO SPRINGS, CO 80911-3836
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN443246
CA
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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