Individual
MCKENZIE CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6897 AUGUSTA HILLS DR NE, RIO RANCHO, NM 87144-8604
(505) 867-1021
Mailing address
6897 AUGUSTA HILLS DR NE, RIO RANCHO, NM 87144-8604
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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