Individual
DEZIRAE R. CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA,
Contact information
Practice address
7500 N DREAMY DRAW DR, PHOENIX, AZ 85020-4660
(602) 325-1606
(602) 906-8216
Mailing address
5615 W CAMELBACK RD, PHOENIX, AZ 85031-1017
(623) 640-4300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CNA1000016799
AZ
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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