Individual
ALEXUS CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 W MAIN ST STE C-D, TRUMANN, AR 72472-2611
(870) 483-0068
(870) 483-0066
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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