Individual
DANA LEANN CORDOVA-JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 3RD AVE NE, MANDAN, ND 58554-3213
(719) 680-2093
Mailing address
1906 E BROADWAY AVE, BISMARCK, ND 58501-4700
(719) 680-2093
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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