Individual
MARIA G CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
593 ALBANY SHAKER RD, LOUDONVILLE, NY 12211-2136
(518) 489-3739
Mailing address
PO BOX 1322, LATHAM, NY 12110-8822
(518) 489-3739
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
525638
NY
163WN0002X
Neonatal Intensive Care Registered Nurse
525638
NY
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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