Individual
SAMANTHA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5724 OSUNA RD NE, ALBUQUERQUE, NM 87109-2527
(505) 377-5435
Mailing address
2608 FOOTHILL DR SW, ALBUQUERQUE, NM 87105-4453
(505) 933-2853
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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