Individual
MRS. ANITA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5901 EAST SEVENTH STREET, LONG BEACH, CA 90822
(562) 826-8000
Mailing address
3311 JULIAN AVENUE, LONG BEACH, CA 90808
(562) 493-2195
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9509
CA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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