Individual
VIVIANA CORDOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 JANN AVE APT 1, OPA LOCKA, FL 33054-3385
(954) 662-3810
Mailing address
410 JANN AVE APT 1, OPA LOCKA, FL 33054-3385
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
FL
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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