Individual
LISA CORDOVA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
(509) 765-1582
Mailing address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
(509) 765-1582
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN00092080
WA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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