Individual
JIENEVE MARIE CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
70 E 1430 N, OREM, UT 84057-2700
(435) 513-0356
Mailing address
70 E 1430 N, OREM, UT 84057-2700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9717191-1206
UT
Other
Enumeration date
06/04/2025
Last updated
12/17/2025
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