Individual
MRS. CAROLYN MARY CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,MPH,CDE
Contact information
Practice address
400 W 16TH ST, PARKVIEW MEDICAL CENTER, PUEBLO, CO 81003-2745
(719) 584-4358
(719) 583-7304
Mailing address
400 W 16TH ST, PARKVIEW MEDICAL CENTER, PUEBLO, CO 81003-2745
(719) 584-4358
(719) 583-7304
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
718076
CO
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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