Individual
CAELAN CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1620 S 3RD ST, SANFORD, NC 27330-5662
(919) 774-3277
Mailing address
1620 S 3RD ST, SANFORD, NC 27330-5662
(919) 774-3277
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
30000890
NC
Other
Enumeration date
06/29/2022
Last updated
07/07/2022
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