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Individual

PRISCILLA MARIE CORDOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 814-2534
Mailing address
1190 W CALLE DEL SOL APT 4, AZUSA, CA 91702-1640
(626) 391-0406

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN95368142
CA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN95368142
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN95368142
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN95368142
CA

Other

Enumeration date
06/19/2025
Last updated
06/19/2025
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