Individual
GLORIA ALEXANDRINA CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 JACK RABBIT LANE, BOULDER, WY 82923
(760) 877-4794
Mailing address
PO BOX 1594, PINEDALE, WY 82941-1594
(760) 877-4794
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
05/19/2022
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