Individual
AMANDA NICOLE CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3836 LONESOME RIDGE CT NE # A, RIO RANCHO, NM 87144-3725
(714) 661-7168
Mailing address
3836 LONESOME RIDGE CT NE, RIO RANCHO, NM 87144-3725
(714) 661-7168
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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