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Lizette Ailene Cervantes

Community Health Worker in Santa Fe Springs, CA. Individual provider (NPI-1).

NPI number1972332302
StatusActive
Last updated in NPPESSep 25, 2024

Details

NPI
1972332302
Entity type
Individual (NPI-1)
Name
Lizette Ailene Cervantes
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2024
Certification date
Sep 25, 2024
Last updated
Sep 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

11741 E. Telegraph Road
Santa Fe Springs, CA 90670-3681

Phone 562-801-0318

Mailing address

11741 E. Telegraph Road
Santa Fe Springs, CA 90670-3681

Phone 562-801-0318

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