Individual
CORA CELIA CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2011 ONTARIO CT, EL CAJON, CA 92019-4231
(619) 997-2649
Mailing address
2011 ONTARIO CT, EL CAJON, CA 92019-4231
(619) 997-2649
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000022813
CA
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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