Individual
JORDAN CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1488 JESSE JEWELL PKWY SE STE 201, GAINESVILLE, GA 30501-3803
(770) 219-9000
Mailing address
2794 S EATON WAY, DENVER, CO 80227-4114
(303) 868-2360
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2021
Last updated
09/23/2021
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