Individual
MS. HOLLY RENEE CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13224 E TALL TREE RD, SPOKANE VALLEY, WA 99216-2411
(509) 924-1506
Mailing address
13224 E TALL TREE RD, SPOKANE VALLEY, WA 99216-2411
(509) 924-1506
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
364500
WA
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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