Individual
NATHANIEL CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8285 S SAGINAW ST, GRAND BLANC, MI 48439-2468
(810) 321-3001
Mailing address
8285 S SAGINAW ST, GRAND BLANC, MI 48439-2468
(810) 321-3001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
07/07/2023
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