Individual
MS. MIRIAM NOEMI CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1715 ELWOOD ST, POMONA, CA 91768-1209
(562) 923-9414
(562) 923-9451
Mailing address
1715 ELWOOD ST, POMONA, CA 91768-1209
(562) 923-9414
(562) 923-9451
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
803588
CA
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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