Individual
LUIS CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6614 CHESTNUT OAK LN, CHARLOTTE, NC 28215-4071
(704) 956-9241
Mailing address
6614 CHESTNUT OAK LN, CHARLOTTE, NC 28215-4071
(704) 956-9241
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2025-13667-01
NC
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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