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Individual

JUAN MANUEL CERVANTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9021 9TH ST., APT A3, BUENA PARK, CA 90621
(657) 452-1446
Mailing address
6930 BEACH BLVD, BUENA PARK, CA 90621-6816
(657) 452-1446

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
12/22/2025
Last updated
12/22/2025
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