Individual
KAYLA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 S 21ST ST APT 253, WACO, TX 76706-3478
(254) 262-9777
Mailing address
2425 S 21ST ST APT 253, WACO, TX 76706-3478
(254) 262-9777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
979894
TX
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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