Individual
ARIEL NICOLE CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 S. JACKSON STREET, JACKSONVILLE, TX 75766
(903) 339-2169
Mailing address
921 S. JACKSON STREET, JACKSONVILLE, TX 75766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71070
TX
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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