Individual
JESSICA CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15454 GALE AVE STE F, HACIENDA HEIGHTS, CA 91745-1500
(626) 825-1194
Mailing address
361 N BANNA AVE, COVINA, CA 91724-3108
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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