Individual
ANTONIO J CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3998 NESTOR LN NE, SALEM, OR 97305-3922
(503) 943-9325
Mailing address
3998 NESTOR LN NE, SALEM, OR 97305-3922
(503) 943-9325
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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