Most Relevant Information
Provider Data
| NPI Number: | 1003384504 |
| Provider Name: | PAOLA PAMELA CERVANTES ACSW 98758 |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/02/2018 |
| Last Updated: | 02/21/2024 |
Provider Practice Location
849 E 6TH ST
LOS ANGELES
CA
900211026
Practice Location Phone/Fax
| Phone: | 2136238446 |
| Fax: | 2138961880 |
Provider Mailing Location
849 E 6TH ST
LOS ANGELES
CA
900211026
Provider Mailing Phone/Fax
| Phone: | 2136238446 |
| Fax: | 2138961880 |