Individual
AMELIA CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 ESPANOLA ST NE, ALBUQUERQUE, NM 87108-2153
(505) 573-0723
Mailing address
517 ESPANOLA ST NE, ALBUQUERQUE, NM 87108-2153
(505) 573-0723
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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