Individual
BREANNA ALYSSA CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13305 S RIDGELAND AVE UNIT C, PALOS HEIGHTS, IL 60463-1814
(708) 907-5149
Mailing address
13305 S RIDGELAND AVE UNIT C, PALOS HEIGHTS, IL 60463-1814
(708) 907-5149
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
03/07/2024
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