Individual
MRS. HEATHER MARIE CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8080 ACADEMY RD NE SUITE C, ALBUQUERQUE, NM 87111
(505) 350-9483
Mailing address
PO BOX 663, PLACITAS, NM 87043-0663
(505) 350-9483
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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