Individual
RYAN CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 HIGHWAY 95 N STE 308C5601, LAKE HAVASU CITY, AZ 86404-8536
(928) 854-5439
(928) 854-5440
Mailing address
11360 183RD ST, CERRITOS, CA 90703-5419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE10068
CA
Other
Enumeration date
11/21/2015
Last updated
10/01/2024
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