Individual
MR. CRISTOBAL E CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15 MCCABE DR, SUITE 101, RENO, NV 89511-5924
(775) 788-5599
(775) 788-5598
Mailing address
15 MCCABE DR, SUITE 101, RENO, NV 89511-5924
(775) 788-5599
(775) 788-5598
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2730
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2730
LICENSE
NV
Enumeration date
09/13/2013
Last updated
09/13/2013
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