Individual
ANTONETTE JALYSSA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 STOCKDALE HWY, BAKERSFIELD, CA 93309-2656
(661) 868-5000
Mailing address
1414 ALTA VISTA DR, BAKERSFIELD, CA 93305-3602
(661) 479-2393
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125109
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2023
Last updated
12/09/2024
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