Individual
MR. TEDDY CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3521
Mailing address
1456 COOL SPRING WAY, VIRGINIA BEACH, VA 23464-8880
(757) 321-0538
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1168742
VA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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