Raul Cervantes, LVN II
Licensed Vocational Nurse in San Bernardino, CA. Individual provider (NPI-1).
NPI number1497465652
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1497465652
- Entity type
- Individual (NPI-1)
- Name
- Raul Cervantes
- Credential
- LVN II
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2022
- Certification date
- Nov 29, 2022
- Last updated
- Nov 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 291623 | CA | Yes |
Practice location
303 E Vanderbilt WaySan Bernardino, CA 92415-0026
Phone 903-987-7200
Mailing address
678 N Verde AveRialto, CA 92376-4978
Phone 626-464-0130
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