Individual
MISS KALINA MARIA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 727-6000
Mailing address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 289-7416
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
55969
NM
Other
Enumeration date
06/17/2019
Last updated
09/06/2019
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