Individual
JESSICA CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3550 MAIN ST STE 101, SPRINGFIELD, MA 01107-1078
(413) 858-7400
Mailing address
53 PARKSIDE ST, SPRINGFIELD, MA 01104-1830
(413) 417-4768
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN99012
MA
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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