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Individual

MS. ELLA DONALDO CORDOVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3061 SABA LN, PORT NECHES, TX 77651-5419
(409) 540-5928
Mailing address
3061 SABA LN, PORT NECHES, TX 77651-5419
(409) 540-5928

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
750859
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
750859
APRN LICENSE NO
TX
Enumeration date
04/15/2013
Last updated
04/15/2013
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