Individual
ADRIANNA JUSTINE CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 PASEO DEL CANON W, TAOS, NM 87571-6943
(505) 216-2727
Mailing address
PO BOX 28164, SANTA FE, NM 87592-8164
(505) 216-2727
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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