Individual
CORDERO ARCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1965 LIVE OAK BLVD, YUBA CITY, CA 95991-8850
(530) 822-5959
Mailing address
2605 SANDAL WALK, PEARLAND, TX 77584-3358
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
728438
CA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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