Individual
MRS. VERONICA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 767-1146
(505) 246-2647
Mailing address
1217 1 STREET NW, ALBUQUERQUE, NM 87102
(505) 767-1146
(505) 246-2647
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
171M00000X
—
Enumeration date
09/30/2009
Last updated
09/30/2009
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