Raymond A Cervenka, PA Valid NPI

Individual provider · Physician Assistant · San Bernardino, CA

NPI

1497965529

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA13903 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-24

Last updated

2021-12-03