Individual
CRESTINA CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
224 PASEO DEL PUEBLO SUR, TAOS, NM 87571-6413
(575) 758-4823
Mailing address
224 PASEO DEL PUEBLO SUR, TAOS, NM 87571-6413
(575) 758-4823
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008191
NM
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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