Individual
JELENY CORDOVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
1109 FAIRLAKE TRCE APT 2301, WESTON, FL 33326-2810
(954) 614-1551
Mailing address
1109 FAIRLAKE TRCE APT 2301, WESTON, FL 33326-2810
(954) 614-1551
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-305
WI
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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