Individual
MR. ADAM CHANDLER CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11401 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2435
(505) 526-3464
Mailing address
300 MENAUL BLVD NW STE A, ALBUQUERQUE, NM 87107-1347
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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