Individual
MICHELLE CORINA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1551 BISHOP ST STE 230, SAN LUIS OBISPO, CA 93401-4661
(805) 434-5530
(805) 434-0023
Mailing address
1551 BISHOP ST STE 230, SAN LUIS OBISPO, CA 93401-4661
(805) 434-5530
(805) 434-0023
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17221
CA
Other
Enumeration date
02/19/2007
Last updated
10/02/2024
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