Individual
MR. DOUGLAS CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 W MOANA LN, RENO, NV 89509-4775
(775) 337-2394
Mailing address
6211 BLACK CINDER CT, SPARKS, NV 89436-7019
(775) 412-3990
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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