Individual
JENNIFER NALLELY CORDOVA-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LOS ALTOS PKWY STE 109, SPARKS, NV 89436-7754
(775) 996-3890
Mailing address
2450 SENECA DR, RENO, NV 89506-9111
(209) 505-0634
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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