Individual
MR. RAYMOND A CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 SAN PEDRO DR NE, SUITE 201-B, ALBUQUERQUE, NM 87110-6744
(505) 260-9912
(505) 260-9934
Mailing address
1330 SAN PEDRO DR NE, SUITE 201-B, ALBUQUERQUE, NM 87110-6744
(505) 260-9912
(505) 260-9934
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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