Most Relevant Information
Provider Data
| NPI Number: | 1003551359 |
| Provider Name: | JAMIE LE ANN CERVANTES |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2022 |
| Last Updated: | 05/05/2022 |
Provider Practice Location
301 E 13TH ST
MERCED
CA
953416211
Practice Location Phone/Fax
| Phone: | 2093816840 |
| Fax: |
Provider Mailing Location
301 E 13TH ST
MERCED
CA
953416211
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |