IndividualActive
Brandon Cervantes
NPI 1205410552 · Technician · Draper, UT
Provider details
- NPI number
- 1205410552
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
12637 S 265 W Ste 300
Draper, UT 84020-5403
Phone: (801) 998-8428
Approximate (ZIP-level) locationGet directions
Mailing address
2243 W Canyonlands Cir
Taylorsville, UT 84129-1705
Registry dates
- Enumerated
- 2021-05-11
- Last updated
- 2021-05-11
- Certified
- 2021-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.